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1114279114
ALFHONSO TRACEY HAVATONE
SCOTTSDALE, AZ
NPI
1114279114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LCSW-11476)
Enumeration Date
2012-10-15
Last Update Date
2012-10-15
Business Address
-- ALFHONSO TRACEY HAVATONE LCSW-11476
10005 E OSBORN RD
SCOTTSDALE, AZ 85256-4019
Phone number: 480-362-5505
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Mailing Address
-- ALFHONSO TRACEY HAVATONE LCSW-11476
11445 N 39TH LN
PHOENIX, AZ 85029-3003
Phone number: 602-434-5246
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