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ALEX VALENZUELA

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1528691235

Individual Registrant:
 ALEX  VALENZUELA 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
950 E MAIN ST BLDG B  SOMERTON, AZ 85350-7409 US
Tel: 928-236-8001  Fax: 928-722-6113

Contact information for business:
PO BOX 617  SOMERTON, AZ 85350-0617 US
Tel: 928-236-8001  Fax: 928-722-6113

Registration Information:
NPI: 1528691235
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AZLCSW-18495

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
003357AZ05




HEALTH CARE JOBS AZ - Page 1



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