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1033649272
BIANCA TARA IBARRA
PHOENIX, AZ
NPI
1033649272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC-16734)
Enumeration Date
2017-06-19
Last Update Date
2017-06-19
Business Address
Mrs. BIANCA TARA IBARRA LPC
10439 S 51ST ST
PHOENIX, AZ 85044-5222
Phone number: 480-635-9944
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Mailing Address
Mrs. BIANCA TARA IBARRA LPC
743 E SIERRA VISTA DR
PHOENIX, AZ 85014-1221
Phone number: 480-406-2979
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