Individual
MR. ANDRE MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW,MSW,LMSW
Contact information
Practice address
7490 S CAMINO DE OESTE, TUCSON, AZ 85746-9308
(520) 879-5909
Mailing address
7490 S CAMINO DE OESTE, TUCSON, AZ 85746-9308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15416
AZ
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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