Individual
CRAIG WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
USA MEDDAC, RWBAHC, 2240 WINROW AVE, FORT HUACHUCA,, AZ 85613
(520) 538-0657
Mailing address
416 CAMELOT DR, SIERRA VISTA, AZ 85635-4702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW0780
AZ
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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