Individual
MR. JOSEPH ANTHONY BUBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LISAC
Contact information
Practice address
8747 E. GOLF LINKS, RENEWAL HEALTH CENTER, LLC, TUCSON, AZ 85730
(520) 256-2737
Mailing address
PO BOX 18201, TUCSON, AZ 85731-8201
(520) 256-2737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 0611
AZ
1041C0700X
Clinical Social Worker
LISAC 1029
AZ
Other
Enumeration date
01/16/2007
Last updated
04/05/2010
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