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1417992181
ZACHARIAS KNICKERBOCKER
TUCSON, AZ
NPI
1417992181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW - 11466)
Enumeration Date
2006-06-18
Last Update Date
2007-07-08
Business Address
-- ZACHARIAS KNICKERBOCKER
4901 E 5TH ST
TUCSON, AZ 85711-2203
Phone number: 520-327-4505
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Mailing Address
-- ZACHARIAS KNICKERBOCKER
127 S 5TH AVE
TUCSON, AZ 85701-2005
Phone number: 520-327-4505
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