Individual
MS. MAR POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2120 S MCCLINTOCK DR STE 105, TEMPE, AZ 85282-2692
(480) 804-0326
(480) 804-0083
Mailing address
2120 S MCCLINTOCK DR, SUITE 105, TEMPE, AZ 85282-2692
(480) 804-0326
(480) 302-7884
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-2825
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55592
—
AZ
01
—
Z145296
MEDICARE
—
Enumeration date
03/19/2008
Last updated
07/21/2022
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