Individual
MARITTA COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
460 N MESA DR STE 115, MESA, AZ 85201-5974
(480) 331-8521
Mailing address
22780 W GARDENIA DR, BUCKEYE, AZ 85326-5951
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-7800T
AZ
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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