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Individual

MS. FAITH MEGAN EIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1939 FRONTAGE RD STE A, SUITE 200, SIERRA VISTA, AZ 85635-4638
(520) 452-9784
Mailing address
2183 COPPER SKY DR, SIERRA VISTA, AZ 85635-6950
(520) 452-9784

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801085600
MI
1041C0700X
Clinical Social Worker
Primary
LCSW-12459
AZ

Other

Enumeration date
03/28/2007
Last updated
04/09/2010
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