Individual
MR. JOSE G MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
450 W 6TH ST, YUMA, AZ 85364-2973
(928) 344-6856
(928) 344-6930
Mailing address
450 W 6TH ST, YUMA, AZ 85364-2973
(928) 344-6856
(928) 344-6930
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3815096
AZ
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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