Provider Demographics
NPI:1326298464
Name:POWERS - TOLMAN, ELIZABETH LEE (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LEE
Last Name:POWERS - TOLMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2573 S ARIZONA AVE STE G
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7336
Mailing Address - Country:US
Mailing Address - Phone:928-376-0220
Mailing Address - Fax:928-376-0709
Practice Address - Street 1:2573 S ARIZONA AVE STE G
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-7336
Practice Address - Country:US
Practice Address - Phone:928-376-0220
Practice Address - Fax:928-376-0709
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-119711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical