Individual
MORDECHAI GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
16601 N 40TH ST STE 216, PHOENIX, AZ 85032-3354
(480) 447-9115
Mailing address
16601 N 40TH ST STE 216, PHOENIX, AZ 85032-3354
(347) 461-6426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-22320
AZ
Other
Enumeration date
11/13/2020
Last updated
12/17/2024
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