Individual
ROSALEEN MARGARET RUNNALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
119 E GOODWIN ST, PRESCOTT, AZ 86303-3940
(928) 420-2786
Mailing address
119 E GOODWIN ST, PRESCOTT, AZ 86303-3940
(928) 420-2786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12031
AZ
Other
Enumeration date
12/18/2012
Last updated
07/08/2016
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