Individual
MR. RANDY THOMAS GEARHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSSA, LCSW
Contact information
Practice address
1110 E MISSOURI AVE, STE 640, PHOENIX, AZ 85014-2735
(602) 432-4965
(602) 900-4545
Mailing address
954 W HILLVIEW ST, MESA, AZ 85201-2421
(602) 432-4965
(602) 900-4545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-10536
AZ
Other
Enumeration date
08/14/2006
Last updated
05/16/2021
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