Individual
DR. MANUEL L. MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4020 N ZAPOTEC AVE, ELOY, AZ 85231-1160
(520) 464-8341
Mailing address
4020 N ZAPOTEC AVE, ELOY, AZ 85231-1160
(520) 464-8341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW # 11051
AZ
Other
Enumeration date
12/23/2006
Last updated
07/08/2007
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