Individual
MAURICIO MAIRENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1680 W IRON SPRINGS RD STE 101A, PRESCOTT, AZ 86305-3313
(949) 231-9619
Mailing address
1680 W IRON SPRINGS RD, PRESCOTT, AZ 86305-3313
(949) 231-9619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16414
AZ
1041C0700X
Clinical Social Worker
66078
CA
Other
Enumeration date
01/30/2007
Last updated
06/16/2025
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