Individual
MR. CHUCK FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5210 E PIMA ST, SUITE 200, TUCSON, AZ 85712-3664
(520) 322-4463
(520) 795-3575
Mailing address
3120 N WILLOW CREEK DR, TUCSON, AZ 85712-1382
(520) 322-4463
(520) 795-3575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW0627
AZ
Other
Enumeration date
01/05/2007
Last updated
11/21/2007
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