Individual
MIRIAM K DE LEVIE-KROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3048 N CHICHICOI LN, PRESCOTT, AZ 86305-6911
(928) 713-0350
Mailing address
3048 N CHICHICOI LN, PRESCOTT, AZ 86305-6911
(928) 713-0350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1778
AZ
Other
Enumeration date
09/15/2010
Last updated
12/04/2024
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