Individual
MR. COREY JAMES CHRISTOPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7219 N LITCHFIELD RD BLDG 1130, GLENDALE LUKE AFB, AZ 85309-1529
(623) 856-3417
Mailing address
23733 N 79TH LN, PEORIA, AZ 85383-5633
(623) 202-7323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-10783
AZ
Other
Enumeration date
02/10/2006
Last updated
05/14/2012
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