Individual
MS. MELISSA EVETTE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3601 S 6TH AVE, BLD 90, ROOM 1132, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
3601 S 6TH AVE, MAIL STOP 4-1168A, TUCSON, AZ 85723-0001
(520) 792-1450
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW 13950
AZ
1041C0700X
Clinical Social Worker
Primary
LMSW-13950
AZ
Other
Enumeration date
10/09/2014
Last updated
01/28/2015
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