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Individual

MICHAEL ISRAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10201 S 51ST ST STE 130, PHOENIX, AZ 85044-5226
(602) 525-5783
Mailing address
6250 S 40TH ST, 8027, PHOENIX, AZ 85042

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-22551
AZ

Other

Enumeration date
03/15/2012
Last updated
10/08/2024
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