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Individual

GABRIEL C RISCHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1120 N 5TH AVENUE, TUCSON, AZ 85705
(520) 881-1292
(520) 881-1648
Mailing address
1120 N 5TH AVE, TUCSON, AZ 85705
(520) 881-1292
(520) 881-1648

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17297
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LCSW-17297
STATE LICENSE
AZ
Enumeration date
07/03/2018
Last updated
07/03/2018
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