Provider Information for 1982078143
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Mr. ROBERT WHITING Jr. LCSW
Sex: Male
NPI: 1982078143
Last Updated: 2024-09-09
Certification Date: 2024-09-09
Certification Date: 2024-09-09
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1982078143 | ||||||||
| Enumeration Date | 2015-11-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4836 W DORIA DR TUCSON, AZ 85742-4101 United States Phone: 520-245-7175 | Fax: | ||||||||
| Primary Practice Address | 3615 N PRINCE VILLAGE PL STE 121 TUCSON, AZ 85719-2034 United States Phone: 520-245-7175 | Fax: | ||||||||
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