Individual
JONATHAN MANUEL GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1520 E PIMA ST, PHOENIX, AZ 85034-4639
(480) 831-7566
Mailing address
1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
(480) 831-7566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18439
AZ
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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