Individual
MAWA KEITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41837 W PLATA ST, MARICOPA, AZ 85138-2554
(623) 414-9707
Mailing address
41837 W PLATA ST, MARICOPA, AZ 85138-2554
(623) 414-9707
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225800000X
Recreation Therapist
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374700000X
Technician
—
—
3747A0650X
Attendant Care Provider
—
—
374J00000X
Doula
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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