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Individual

BRYAN DUBROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW-21781

Contact information

Practice address
2311 W ROYAL PALM RD, PHOENIX, AZ 85021-4924
(602) 269-5300
Mailing address
2700 N CENTRAL AVE STE 1050, PHOENIX, AZ 85004-1217
(602) 266-8402

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-21781
AZ

Other

Enumeration date
09/21/2023
Last updated
09/21/2023
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