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1063519791
PAMELA MOOREHEAD
MARANA, AZ
NPI
1063519791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-10811)
Enumeration Date
2006-09-17
Last Update Date
2012-07-12
Business Address
-- PAMELA MOOREHEAD LISAC
13549 N SANDERS RD
MARANA, AZ 85653
Phone number: 520-682-1091
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Mailing Address
-- PAMELA MOOREHEAD LISAC
PO BOX 188
MARANA, AZ 85653-0188
Phone number: 520-682-4111
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