Individual
KELLY MAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
880 N COLORADO ST, GILBERT, AZ 85233-3419
(480) 820-0825
Mailing address
4211 E PALM LN UNIT 201, PHOENIX, AZ 85008-3130
(952) 465-7091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22615
AZ
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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