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Individual

MARY SPECIO-BOYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISAC, LMSW

Contact information

Practice address
1477 W COMMERCE CT, TUCSON, AZ 85746-6016
(520) 792-3293
Mailing address
PO BOX 1457, TUCSON, AZ 85702-1457

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10130
AZ
104100000X
Social Worker
LMSW-13175
AZ

Other

Enumeration date
01/07/2019
Last updated
01/07/2019
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