Individual
DONALD RAY LINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(620) 277-5551
Mailing address
9903 N 179TH DR, WADDELL, AZ 85355-4109
(440) 714-2070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1700995
OH
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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