0 | |
13644 N Sandario Rd Marana AZ 85653-8579 | |
(520) 682-4111 | |
(520) 682-3817 |
Full Name | 0 |
---|---|
Speciality | Clinic/center |
Location | 13644 N Sandario Rd, Marana, Arizona |
Authorized Official Name and Position | William Gary Stewart (SOCIAL WORKER) |
Authorized Official Contact | 5026824111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
0 13644 N Sandario Rd Marana AZ 85653-8579 Ph: (520) 682-4111 | 0 13644 N Sandario Rd Marana AZ 85653-8579 Ph: (520) 682-4111 |
NPI Number | 1518061779 |
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Provider Enumeration Date | 09/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518061779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | LCSW98I (Arizona) | Primary |
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