Individual
GINA M MARIANETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
5150 N 16TH ST, STE C-162, PHOENIX, AZ 85016-3925
(602) 845-9772
Mailing address
3802 E MEADOWBROOK AVE, PHOENIX, AZ 85018-3534
(602) 845-9772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13830
AZ
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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