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Individual

MRS. YADIRA MARI NIEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
1802 W MARYLAND AVE, APARTMENT 1082, PHOENIX, AZ 85015-1750
(480) 433-5537
Mailing address
1802 W MARYLAND AVE, APARTMENT 1082, PHOENIX, AZ 85015-1750
(480) 433-5537

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
08/29/2009
Last updated
08/29/2009
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