NICKALOUS ALEXANDER KORBUT

FORT HUACHUCA, AZ
NPI1598269029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: HI  LCSW-4319)
Enumeration Date2018-03-20
Last Update Date2024-09-04
Business Address
NICKALOUS ALEXANDER KORBUT LCSW
2240 WINROW RD
FORT HUACHUCA, AZ 85613-5080
Phone number: 413-219-4429
Mailing Address
NICKALOUS ALEXANDER KORBUT LCSW
2240 WINROW RD
FORT HUACHUCA, AZ 85613-5080
Phone number: 205-533-9200
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