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1104317338
SUSAN POWELL
GOODYEAR, AZ
NPI
1104317338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-23
Last Update Date
2018-05-23
Business Address
SUSAN POWELL
319 N LITCHFIELD RD
GOODYEAR, AZ 85338-1256
Phone number: 480-516-8037
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Mailing Address
SUSAN POWELL
319 N LITCHFIELD RD
GOODYEAR, AZ 85338-1256
Phone number: 480-516-8037
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