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Individual

MR. ROBERT TIMOTHY TENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
500 N STATE ROUTE 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
1889 N EMERALD DR, PRESCOTT, AZ 86301-5931
(480) 452-5800

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3586
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LCSW-3586
LICENSED CLINICAL SOCIAL
AZ
Enumeration date
08/24/2006
Last updated
11/02/2015
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