Individual
LAURIE TIMARAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4451 E OAK ST, PHOENIX, AZ 85008-2410
(602) 957-2220
(602) 956-3486
Mailing address
202 E EARLL DR, SUITE 200, PHOENIX, AZ 85012-2634
(602) 957-2220
(602) 956-3486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1325
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141385
—
AZ
Enumeration date
04/28/2016
Last updated
09/02/2016
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