Organization
ARISE LICENSED CLINICAL SOCIAL WORK PROFESSIONALS, INC.
Active
Other names
Arise LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL PRUITT (PRESIDENT)
(831) 429-2288
Entity
Organization
Contact information
Practice address
4113 SCOTTS VALLEY DR, SCOTTS VALLEY, CA 95066-4547
(831) 429-2288
Mailing address
PO BOX 4161, SANTA CRUZ, CA 95063-4161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23001
CA
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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