Individual
MR. RONALD EVAN PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2813 N JAMISON BLVD, FLAGSTAFF, AZ 86004-3814
(928) 380-6130
Mailing address
2813 N JAMISON BLVD, FLAGSTAFF, AZ 86004-3814
(928) 380-6130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-13675
AZ
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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