Individual
MARIO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2060 W WHISPERING WIND DR STE 264, PHOENIX, AZ 85085-2869
(602) 616-5423
Mailing address
11423 N 112TH AVE, YOUNGTOWN, AZ 85363-1558
(602) 616-5423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-15863
AZ
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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