Individual
NORMAN E MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
210 E COTTONWOOD LN, CASA GRANDE, AZ 85222-2514
(520) 836-1688
(520) 421-2708
Mailing address
PO BOX 6188, CHANDLER, AZ 85246-6188
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-0068
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
752536
—
AZ
01
—
LMFT0068
LICENSE
AZ
Enumeration date
09/28/2006
Last updated
07/09/2007
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