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Individual

ROBERTO CARLOS CONTRERAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1014 N COUNTRY CLUB RD, TUCSON, AZ 85716-4239
(520) 214-2331
Mailing address
7990 E SNYDER RD APT 11101, TUCSON, AZ 85750-9022
(192) 892-0423

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-18784
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1386641124
LCSW-11577 DOCTOR OF BEHAVIORAL HEALTH LICENSED CLINICAL SOCIAL WORKER
AZ
Enumeration date
09/15/2020
Last updated
09/15/2020
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