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Individual

MR. LINFORD W WHITTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
6280 E PIMA ST, SUITE # 110, TUCSON, AZ 85712-3074
(520) 906-9933
(520) 577-6234
Mailing address
4862 N BONITA RIDGE AVE, TUCSON, AZ 85750-6255
(520) 906-9933
(520) 577-6234

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LCSW-10822
AZ
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
841199
AZ
01
P00476020
RAILROAD MEDICARE
AZ
Enumeration date
11/21/2006
Last updated
04/01/2011
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