Individual
MARY MICHELLE PITOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, LCSW
Contact information
Practice address
5181 N CALLE BUJIA, TUCSON, AZ 85718-6167
(520) 440-8791
Mailing address
5181 N CALLE BUJIA, TUCSON, AZ 85718-6167
(520) 440-8791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW4110
AZ
Other
Enumeration date
10/04/2014
Last updated
10/04/2014
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