Individual
MR. ROBERTO AGUSTIN PEART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1144 E MCDOWELL RD, 200, PHOENIX, AZ 85006-2664
(602) 307-5330
Mailing address
1843 S YUCCA, MESA, AZ 85202-5753
(480) 839-5420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1010
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010
LCSW
AZ
Enumeration date
09/26/2012
Last updated
09/26/2012
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