Individual
MARY A MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8450 OLIVE AVE, MOHAVE VALLEY ELEM. SD16, MOHAVE VALLEY, AZ 86440-9214
(928) 768-2507
Mailing address
PO BOX 6221, MOHAVE VALLEY, AZ 86446-6221
(928) 768-4216
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
816431
—
AZ
Enumeration date
04/13/2007
Last updated
07/26/2007
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