Individual
MARIANNE S. VALLADARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
300 EAST HOSPITAL RD., FORT GORDON, GA 30905-5650
(706) 787-6084
Mailing address
333 W WILCOX DR, STE 202, SIERRA VISTA, AZ 85635-1790
(520) 249-7650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW10948
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW10948
AZ BOARD OF BH
AZ
Enumeration date
05/20/2006
Last updated
03/06/2017
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