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Individual

MARISSA COON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, BSW, EMT

Contact information

Practice address
1921 S ALMA SCHOOL RD STE 304, MESA, AZ 85210-3039
(480) 295-2618
Mailing address
1921 S ALMA SCHOOL RD STE 304, MESA, AZ 85210-3039
(480) 295-2618

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LMSW-21199
AZBBHE
AZ
Enumeration date
02/10/2023
Last updated
02/24/2023
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