Individual
LISA M MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W MAIN ST, CASA GRANDE, AZ 85122-4820
(520) 836-1675
(520) 421-1969
Mailing address
210 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2514
(520) 836-1688
(520) 421-2708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10385
AZ
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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