| 0 | |
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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 |
|---|---|
| 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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