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1043098643
DAVONA D BLACKHORSE
MESA, AZ
NPI
1043098643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-20688)
Enumeration Date
2023-09-15
Last Update Date
2023-09-15
Business Address
DAVONA D BLACKHORSE LAC
2204 S DOBSON RD STE 201
MESA, AZ 85202-6457
Phone number: 602-230-7373
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Mailing Address
DAVONA D BLACKHORSE LAC
3101 N CENTRAL AVE STE 500
PHOENIX, AZ 85012-2639
Phone number: 602-230-7373
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