MICHAEL WAYNE ST. ORES

TUCSON, AZ
NPI1053340307
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC - 10732)
Enumeration Date2006-06-30
Last Update Date2007-07-08
Business Address
-- MICHAEL WAYNE ST. ORES
3550 N 1ST AVE
TUCSON, AZ 85719-1770
Phone number: 520-327-4505
Mailing Address
-- MICHAEL WAYNE ST. ORES
127 S 5TH AVE
TUCSON, AZ 85701-2005
Phone number: 520-327-4505
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