Individual
MR. RICHARD CRAIG WUNDERLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
2001 W STARR PASS BLVD, TUCSON, AZ 85713-1303
(520) 225-4022
(520) 225-4001
Mailing address
3515 N CAMINO DE VIS, TUCSON, AZ 85745-9797
(520) 743-4558
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW - 1088
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630873
—
AZ
Enumeration date
05/10/2007
Last updated
07/08/2007
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