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CRAIG WHITMAN

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

Registrant NPI Number: 1568552495

Individual Registrant:
 CRAIG  WHITMAN 
Gender: M
Sole Proprietor

Location and contact information for practice:
USA MEDDAC, RWBAHC 2240 WINROW AVE FORT HUACHUCA,, AZ 85613 US
Tel: 520-538-0657  Fax: --

Contact information for business:
416 CAMELOT DR  SIERRA VISTA, AZ 85635-4702 US
Tel: --  Fax: --

Registration Information:
NPI: 1568552495
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AZLCSW0780

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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