Individual
MS. MARY PENTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2502 N DODGE BLVD, SUITE 190, TUCSON, AZ 85716-2671
(520) 618-8600
Mailing address
2700 S 8TH AVE, TUCSON, AZ 85713-4730
(520) 882-5608
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW-15245
AZ
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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