Individual
GERALDINE ARCHULETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1161 N EL DORADO PL, SUITE 103, TUCSON, AZ 85715-4607
(520) 748-7108
(520) 570-1332
Mailing address
1161 N EL DORADO PL, SUITE 103, TUCSON, AZ 85715-4607
(520) 748-7108
(520) 570-1332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-0689
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
(1181):535567-02
—
AZ
Enumeration date
10/22/2013
Last updated
10/22/2013
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