Individual
MS. MARY L BEGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8527
Mailing address
FORT DEFIANCE INDIAN HOSPITAL BOARD, INC., P.O. BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8527
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-11455
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-11455
SOCIAL WORKER
AZ
Enumeration date
08/22/2006
Last updated
12/02/2011
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