Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 1538584 | AZ |
NPI | 1003122672 |
---|---|
Provider Name | Solomon H Cason |
First Address | Phoenix, AZ 85011-6906 |
Second Address | Phoenix, AZ 85014-4520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2010 |
Last Update Date | 20/08/2010 |