Provider Demographics
NPI:1689765836
Name:LAWSON, GEORGE RALPH (MSW)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:RALPH
Last Name:LAWSON
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 454 BOX 1516
Mailing Address - Street 2:APO AE 09250
Mailing Address - City:ANSPACH
Mailing Address - State:BAVARIA
Mailing Address - Zip Code:09250
Mailing Address - Country:DE
Mailing Address - Phone:0980-283-2850
Mailing Address - Fax:0980-283-2205
Practice Address - Street 1:60209 E GREYSTONE DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85739-1962
Practice Address - Country:US
Practice Address - Phone:520-818-3211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-35051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical