Individual
MARY FLANERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
1365 E 12TH ST, CASA GRANDE, AZ 85122-3694
(520) 371-9646
(520) 466-8851
Mailing address
1365 E 12TH ST, CASA GRANDE, AZ 85122-3694
(520) 466-8850
(520) 466-8851
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SA-1695
AZ
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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