Individual
JESSICA DEAN MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 N OLD CHISHOLM TRL STE A, DEWEY, AZ 86327-5833
(928) 235-5778
Mailing address
3172 SHOSHONE DR UNIT 11D, PRESCOTT, AZ 86301-4664
(520) 831-1324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-6965T
AZ
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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