person
Detza Ericka Van Bogaert, LMSW
School Social Worker in Phoenix, Arizona
NPI 1851716757

Detza Ericka Van Bogaert is a School Social Worker based in Phoenix, AZ and is specialized in School. Detza Ericka Van Bogaert practices in Phoenix, AZ and has the professional credentials of LMSW. The NPI Number for Detza Ericka Van Bogaert is 1851716757 and holds a License No. LMSW-13670 (Arizona).

The current practice location address for Detza Ericka Van Bogaert is 2929 E Thomas Rd, Phoenix, AZ and can be reached out via phone at 602-470-5043 and via fax at 602-470-5064.

Location: 2929 E Thomas Rd, Phoenix, AZ, 85016-8034
person
Provider Profile Details
NPI Number
1851716757
Provider Name
Detza Ericka Van Bogaert
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
2929 E Thomas Rd, Phoenix, AZ, 85016-8034
Phone Number
602-470-5043
Fax Number
602-470-5064
Provider Enumeration Date
02/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2929 E Thomas Rd
City
State
Zip
85016-8034
Phone Number
602-470-5043
Fax Number
602-470-5064
person
Provider Business Mailing Address Details
Address
2929 E Thomas Rd
City
State
Zip
85016-8034
Phone Number
602-470-5043
Fax Number
602-470-5064
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
License No.
LMSW-13670 (Arizona)
Definition
Definition to come...
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