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1083247357
EDWARD SCOTT WHITE
PHOENIX, AZ
NPI
1083247357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-15091)
Enumeration Date
2020-02-14
Last Update Date
2020-02-14
Business Address
EDWARD SCOTT WHITE LISAC
2150 E BELL RD UNIT 1042
PHOENIX, AZ 85022-2973
Phone number: 602-300-8438
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Mailing Address
EDWARD SCOTT WHITE LISAC
2150 E BELL RD UNIT 1042
PHOENIX, AZ 85022-2973
Phone number: 602-300-8438
Copy
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