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1053050955
LIONEL ESTRADA
SCOTTSDALE, AZ
NPI
1053050955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LASAC-15370)
Enumeration Date
2022-05-31
Last Update Date
2022-05-31
Business Address
LIONEL ESTRADA LISAC
16444 N 91ST ST
SCOTTSDALE, AZ 85260-1567
Phone number: 800-480-1781
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Mailing Address
LIONEL ESTRADA LISAC
16444 N 91ST ST
SCOTTSDALE, AZ 85260-1567
Phone number:
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