Individual
MS. VERNA JEAN MARION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISAC, BCD
Contact information
Practice address
2357 E CABALLERO ST, MESA, AZ 85213-7610
(480) 461-0301
Mailing address
2357 E CABALLERO ST, MESA, AZ 85213-7610
(480) 461-0301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW0090I
AZ
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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