Most Relevant Information
Provider Data
| NPI Number: | 1003558065 |
| Provider Name: | JAZMINE AGLAE MORALES LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | LCSW22461 |
Most Important Dates
| Enumeration Date: | 04/11/2022 |
| Last Updated: | 10/07/2024 |
Provider Practice Location
1100 N F AVE
DOUGLAS
AZ
856071919
Practice Location Phone/Fax
| Phone: | 5203643285 |
| Fax: | 5203643378 |
Provider Mailing Location
1205 N F AVE
DOUGLAS
AZ
856071920
Provider Mailing Phone/Fax
| Phone: | 5203641429 |
| Fax: | 5205158690 |