Individual
GEORGINA L FISCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
590 S. OCOTILLO AVE., BENSON, AZ 85602-6405
(800) 586-7080
(520) 586-3161
Mailing address
611 W. UNION ST., BENSON, AZ 85602
(520) 586-0800
(520) 586-0116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-10635
AZ
1041C0700X
Clinical Social Worker
LCSW10635
AZ
Other
Enumeration date
05/31/2006
Last updated
10/26/2010
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