Organization
FUZION ALLIED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID ROXANA MEJIA LCSW (OWNER)
(623) 414-9488
Entity
Organization
Contact information
Practice address
1038 E COLTER ST, PHOENIX, AZ 85014-2622
(602) 251-4652
Mailing address
1038 E COLTER ST, PHOENIX, AZ 85014-2622
(623) 414-9488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104459973
NPI
AZ
Enumeration date
04/16/2020
Last updated
04/16/2020
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