Individual
CHARLES GEORGE SITTING BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
HWY 160/163 BLDG KA2010, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 679-4189
Mailing address
PO BOX 367, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4189
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131107-3502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060012
—
AZ
Enumeration date
03/11/2010
Last updated
03/11/2010
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