Individual provider · NPI-1

Mozelle Anderson

Social Worker, Clinical · Gilbert, AZ

NPI number1144944232
StatusActive
Last updated in NPPESOct 3, 2022

Details

NPI
1144944232
Entity type
Individual (NPI-1)
Name
Mozelle Anderson
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 3, 2022
Certification date
Oct 1, 2022
Last updated
Oct 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLCSW-20798AZYes

Practice location

170 E Guadalupe Rd Unit 144
Gilbert, AZ 85234-4656

Phone 219-238-1460

Mailing address

170 E Guadalupe Rd Unit 144
Gilbert, AZ 85234-4656

Phone 219-238-1460

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