Individual
DIDI MARIE JOSEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3.7 MILES SE OF MP 455 HWY 264, GANADO, AZ 86505
(928) 729-4012
Mailing address
PO BOX 921, SAINT MICHAELS, AZ 86511-0921
(928) 856-4338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-10119
NM
1041C0700X
Clinical Social Worker
X-10068
NM
Other
Enumeration date
06/07/2017
Last updated
07/05/2019
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