Miriam K De Levie-Krock, LCSW Valid NPI

Individual provider · Clinical Social Worker · Prescott, AZ

NPI

1982912630

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

LCSW-1778 (AZ)

Sex

Female

Sole proprietor

Yes

Enumerated

2010-09-15

Last updated

2024-12-04