Individual
OSVALDO GOTAY RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10041 E MARY DR, TUCSON, AZ 85730-3191
(787) 923-3035
Mailing address
10041 E MARY DR, TUCSON, AZ 85730-3191
(787) 923-3035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
19379
PR
1041C0700X
Clinical Social Worker
Primary
22248
AZ
Other
Enumeration date
06/25/2015
Last updated
07/08/2024
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