Individual
MARA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4111 E VALLEY AUTO DR STE 101, MESA, AZ 85206-4607
(480) 666-5502
Mailing address
4111 E VALLEY AUTO DR STE 101, MESA, AZ 85206-4607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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