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Individual provider · Child Mental Illness Respite Care · Phoenix, AZ

NPI
1386719862
Type
Individual (Type 1)
Primary specialty
Child Mental Illness Respite Care (Respite Care)
Specialty group
Respite Care Facility
Taxonomy code
385HR2055X
License number
8866 (AZ)
Sex
Female
Sole proprietor
Yes
Enumerated
2006-11-21
Last updated
2007-07-08
Practice location
3049 W Dahlia Dr
Phoenix, AZ 85029-1320
(602) 866-7399

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