Most Relevant Information
Provider Data
| NPI Number: | 1003542713 |
| Provider Name: | AMANDA NICOLE GODINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 17980 |
Most Important Dates
| Enumeration Date: | 07/26/2022 |
| Last Updated: | 07/26/2022 |
Provider Practice Location
650 E INDIAN SCHOOL RD
PHOENIX
AZ
850121892
Practice Location Phone/Fax
| Phone: | 6027573396 |
| Fax: |
Provider Mailing Location
650 E INDIAN SCHOOL RD
PHOENIX
AZ
850121892
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |