MEDICARE: INTERVENTIONS FOR FAMILIES AND CHILDREN, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1396516845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERVENTIONS FOR FAMILIES AND CHILDREN, INC.

Provider Business Mailing Address
First Line	:	5210 E PIMA ST STE 200
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-3678
Country	:	US
Telephone Number	:	520-326-1336
Fax Number	:	520-337-4139

Provider Business Practice Location Address
First Line	:	5210 E PIMA ST STE 200
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-3678
Country	:	US
Telephone Number	:	520-326-1336
Fax Number	:	520-337-4139

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MS. JEAN MARIE WARE
Credential	:	LCSW
Telephone Number	:	520-591-8042

Provider Enumeration Date	:	01/12/2024
Last Update Date	:	01/12/2024

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