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Individual

MR. GARY ZECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1492 SOUTH MILL AVENUE, SUITE 312, TEMPE, AZ 85281-5676
(602) 243-7277
(480) 927-1092
Mailing address
2702 NORTH 3RD STREET, SUITE 4020, PHOENIX, AZ 85004-4608
(602) 323-3344
(602) 323-3496

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW2334
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
650382
AZ
Enumeration date
09/01/2011
Last updated
08/02/2013
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