Individual
MR. MARCUS ANDREW MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6583
(022) 437-2776
Mailing address
1320 E HIGHLAND AVE APT 39, PHOENIX, AZ 85014-3735
(602) 290-9207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-19543
AZ
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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