Individual
MITCHELL KRMPOTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4545 E SHEA BLVD STE 100, PHOENIX, AZ 85028-3085
(602) 529-6557
Mailing address
4545 E SHEA BLVD STE 100, PHOENIX, AZ 85028-3085
(602) 529-6557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-21941
AZ
Other
Enumeration date
02/27/2020
Last updated
06/12/2024
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