Individual
MRS. MAYTE IDELLE GIUBARDO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1145 MARINA BLVD, MOHAVE MENTAL HEALTH CLINIC INC, BULLHEAD CITY, AZ 86442
(928) 758-5905
(928) 757-3256
Mailing address
1743 SYCAMORE AVE, MOHAVE MENTAL HEALTH CLINIC INC, KINGMAN, AZ 86409
(928) 757-8111
(928) 757-3256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW11855
AZ
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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