Individual
MS. ALICIA MIREYA MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
500 W 10TH PL, SUITE 122, MESA, AZ 85201-3216
(480) 461-2243
Mailing address
1010 N COUNTRY CLUB DR, MESA, AZ 85201-3309
(480) 461-2409
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-2861
AZ
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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