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1063002434
DEBRA MICHELLE BLUM
GLENDALE, AZ
NPI
1063002434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-18959)
Enumeration Date
2021-01-20
Last Update Date
2021-01-20
Business Address
DEBRA MICHELLE BLUM
17505 N 79TH AVE
GLENDALE, AZ 85308-8725
Phone number: 623-800-7980
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Mailing Address
DEBRA MICHELLE BLUM
45926 N 37TH AVE
NEW RIVER, AZ 85087-7022
Phone number: 025-570-5514
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