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NPI Code Detail

MEDICARE: MRS. SELENA KAY SONI LCSW

MEDICARE:  MRS. SELENA KAY SONI  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker13256AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113256OTHERAZSTATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS LICENSE

General Provider Information

NPI Number : 1205126810
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SELENA KAY SONI LCSW
Provider Business Mailing Address
First Line : 3638 E COLTER ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-1536
Country : US
Telephone Number : 602-748-5699
Fax Number :
Provider Business Practice Location Address
First Line : 7420 E CAMELBACK RD STE 103
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-3509
Country : US
Telephone Number : 480-300-2635
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2011
Last Update Date : 12/19/2020

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Directions to “ MRS. SELENA KAY SONI LCSW” Practice Location

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