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1003332578
ADAM J PETTY
PHOENIX, AZ
NPI
1003332578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-16151)
Enumeration Date
2017-08-16
Last Update Date
2017-08-16
Business Address
ADAM J PETTY LAC
1825 E NORTHERN AVE STE 215
PHOENIX, AZ 85020-3940
Phone number: 480-360-5484
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Mailing Address
ADAM J PETTY LAC
2618 E GENEVA DR
TEMPE, AZ 85282-4152
Phone number: 480-382-3124
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