Miriam K De Levie-Krock, LCSW

NPI #1982912630 in Prescott, Arizona

Provider Information

NPI Number
1982912630
Entity Type
Individual
Name
Miriam K De Levie-Krock, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Sep 15, 2010
Last Updated
Dec 4, 2024

Practice Location

Address
3048 N CHICHICOI LN
State
Arizona
ZIP Code
86305-6911
Phone
(928) 713-0350

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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