Bryan Dubrock, LCSW-21781
Social Worker, Clinical in Phoenix, AZ. Individual provider (NPI-1).
NPI number1053190819
StatusActive
Last updated in NPPESSep 21, 2023
Details
- NPI
- 1053190819
- Entity type
- Individual (NPI-1)
- Name
- Bryan Dubrock
- Credential
- LCSW-21781
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2023
- Certification date
- Sep 21, 2023
- Last updated
- Sep 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | Lcsw-21781 | AZ | Yes |
Practice location
2311 W Royal Palm RdPhoenix, AZ 85021-4924
Phone 602-269-5300
Mailing address
2700 N Central Ave Ste 1050Phoenix, AZ 85004-1217
Phone 602-266-8402
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