Individual
MAYRA CALZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15525 N 83RD AVE, PEORIA, AZ 85382-5820
(623) 399-3589
Mailing address
15525 N 83RD AVE, PEORIA, AZ 85382-5820
(623) 399-3589
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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