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Tyrae Word
Professional Counselor in Casa Grande, Arizona
NPI 1598137242

Tyrae Word is a Professional Counselor based in Casa Grande, AZ and is specialized in Professional. Tyrae Word practices in Casa Grande, AZ. The NPI Number for Tyrae Word is 1598137242 and holds a License No. 15592 (Arizona).

The current practice location address for Tyrae Word is 210 E Cottonwood Ln, Casa Grande, AZ and can be reached out via phone at 520-876-1840 and via fax at 520-421-2708.

Location: 210 E Cottonwood Ln, Casa Grande, AZ, 85122-2514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598137242
Provider Name
Tyrae Word
Credential
Provider Entity Type
Individual
Gender
Male
Address
210 E Cottonwood Ln, Casa Grande, AZ, 85122-2514
Phone Number
520-876-1840
Fax Number
520-421-2708
Provider Enumeration Date
10/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020018 05 AZ
institution
Provider Business Practice Location Address Details
Address
210 E Cottonwood Ln
City
Casa Grande
State
Arizona
Zip
85122-2514
Phone Number
520-876-1840
Fax Number
520-421-2708
person
Provider Business Mailing Address Details
Address
210 E Cottonwood Ln
City
Casa Grande
State
Arizona
Zip
85122-2514
Phone Number
520-876-1840
Fax Number
520-421-2708
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
15592 (Arizona)
Definition
Definition to come...
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