Individual
MARK ANTHONY CAPETILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
1315 E DUKE DR, TUCSON, AZ 85719-1401
(862) 926-9687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.025116
IL
1041C0700X
Clinical Social Worker
Primary
LCSW-22936
AZ
Other
Enumeration date
07/09/2020
Last updated
04/25/2025
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