SHIRLEY A. MATT

PHOENIX, AZ
NPI1063569473
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-0439)
Enumeration Date2007-01-05
Last Update Date2007-07-09
Business Address
-- SHIRLEY A. MATT LISAC
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
Mailing Address
-- SHIRLEY A. MATT LISAC
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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