| None | |
|
1790 N Mastick Way Suite A Nogales AZ 85621-1135 | |
| (520) 281-0009 | |
| (520) 281-0009 |
| Full Name | None |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1790 N Mastick Way, Nogales, Arizona |
| Authorized Official Name and Position | Patricia R. Bruce (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5202810009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 1790 N Mastick Way Suite A Nogales AZ 85621-1135 Ph: (520) 281-0009 | None 1790 N Mastick Way Suite A Nogales AZ 85621-1135 Ph: (520) 281-0009 |
| NPI Number | 1245504927 |
|---|---|
| Provider Enumeration Date | 02/28/2012 |
| Last Update Date | 08/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245504927 | NPI | - | NPPES |
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