Individual
MECHELIZ SANTIAGO AMARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1014 N COUNTRY CLUB RD, TUCSON, AZ 85716-4239
(520) 286-6734
Mailing address
4874 E EASTLAND ST, TUCSON, AZ 85711-4950
(520) 403-1364
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-17087
AZ
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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