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1053564757
JACQUELINE R. JOHN
PHOENIX, AZ
NPI
1053564757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
Mrs. JACQUELINE R. JOHN MSW
4520 N CENTRAL AVE STE 600
PHOENIX, AZ 85012-1848
Phone number: 602-254-3247
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Mailing Address
Mrs. JACQUELINE R. JOHN MSW
4520 N CENTRAL AVE STE 100
PHOENIX, AZ 85012-1831
Phone number: 602-254-3247
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