Organization
COLLEGE OF CONSENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYNN MERCY TIERNEY LMT (PRESIDENT)
(480) 306-3798
Entity
Organization
Contact information
Practice address
4016 E COVINA ST, MESA, AZ 85205-9317
(480) 442-6046
Mailing address
4016 E COVINA ST, MESA, AZ 85205-9317
(480) 306-3798
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
AZ
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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