Organization
MARTHA L. SCRANTON, MS.LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANE V ALVA (BILLING MANAGER)
(928) 214-1070
Entity
Organization
Contact information
Practice address
711 N BEAVER ST, FLAGSTAFF, AZ 86001-3103
(928) 214-1070
(928) 214-1071
Mailing address
PO BOX 30310, FLAGSTAFF, AZ 86003-0310
(928) 214-1070
(928) 214-1071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821278623
—
AZ
Enumeration date
05/12/2014
Last updated
05/12/2014
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