Individual
GERARDO RAFAEL CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3116 AUTUMN RIDGE DR W, MOBILE, AL 36695-3227
(251) 648-3017
Mailing address
3116 AUTUMN RIDGE DR W, MOBILE, AL 36695-3227
(251) 648-3017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4134G
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4134G
THE ALABAMA STATE BOARD OF SOCIAL WORK EXAMINERS
AL
Enumeration date
02/18/2019
Last updated
02/18/2019
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