Individual
PAUL CONDICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
5830 N FOUNTAINS AVE, TUCSON, AZ 85704-2869
(520) 290-1900
Mailing address
5830 N FOUNTAINS AVE, TUCSON, AZ 85704-2869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LISWX193
NM
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/07/2011
Last updated
01/12/2012
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