RALPH C IBSEN

SHOW LOW, AZ
NPI1760594782
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  LCSW-0263)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- RALPH C IBSEN MSW
2450 E SHOW LOW LAKE RD SUITE 3A
SHOW LOW, AZ 85901-7953
Phone number: 928-532-1069
Mailing Address
-- RALPH C IBSEN MSW
2450 E SHOW LOW LAKE RD SUITE 3A
SHOW LOW, AZ 85901-7953
Phone number: 928-532-1069
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