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1134519796
JILL R CROOK
GLENDALE, AZ
NPI
1134519796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-10131)
Enumeration Date
2015-02-03
Last Update Date
2015-02-03
Business Address
-- JILL R CROOK LISAC
5801 N 51ST AVE
GLENDALE, AZ 85301-6057
Phone number: 602-685-6000
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Mailing Address
-- JILL R CROOK LISAC
3003 N CENTRAL AVE STE 200
PHOENIX, AZ 85012-2914
Phone number: 602-685-6000
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