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1013681006
KATHERINE MARIE HANLON
GLENDALE, AZ
NPI
1013681006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-08-04
Last Update Date
2021-08-04
Business Address
KATHERINE MARIE HANLON
17235 N 75TH AVE STE F100
GLENDALE, AZ 85308-0871
Phone number: 480-641-1165
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Mailing Address
KATHERINE MARIE HANLON
12081 WEST LISBON LN
EL MIRAGE, AZ 85335
Phone number: 314-477-5105
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