Individual
MR. JOHN R TELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
556 S ARIZONA BLVD, COOLIDGE, AZ 85228-5103
(520) 723-7405
(520) 723-7410
Mailing address
2464 N MI CASA CIR, CASA GRANDE, AZ 85222-1121
(520) 723-7405
(520) 723-7410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12232
AZ
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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