Dr. Edward Russell Mann III, phd
Social Worker, Clinical in Phoenix, AZ. Individual provider (NPI-1).
NPI number1184875767
StatusActive
Last updated in NPPESOct 1, 2008
Details
- NPI
- 1184875767
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edward Russell Mann III
- Credential
- phd
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2008
- Last updated
- Oct 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | lcsw18641 | AZ | Yes |
Practice location
650 E Indian School RdPhoenix, AZ 85012-1839
Phone 602-277-5551
Mailing address
650 E Indian School RdPhoenix, AZ 85012-1839
Phone 602-277-5551
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