Provider Demographics
NPI:1023009578
Name:MORTON, MARK ALLAN (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:ALLAN
Last Name:MORTON
Suffix:
Gender:M
Credentials:MSW, LCSW
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Mailing Address - Street 1:7155 W CAMPO BELLO DR
Mailing Address - Street 2:SUITE C-120
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8590
Mailing Address - Country:US
Mailing Address - Phone:623-322-7301
Mailing Address - Fax:602-680-5576
Practice Address - Street 1:7155 W CAMPO BELLO DR
Practice Address - Street 2:SUITE C-120
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8590
Practice Address - Country:US
Practice Address - Phone:623-322-7301
Practice Address - Fax:602-680-5576
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZSW1722I1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical