Individual
CHRISTINA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 S MAIN, SUPERIOR, AZ 85273-2527
(520) 689-2457
(520) 689-2745
Mailing address
758S PANTANO RD, TUCSON, AZ 85710-5855
(520) 499-4663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 12333
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325446
—
AZ
Enumeration date
04/03/2008
Last updated
07/09/2015
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