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1134521370
SUSAN SELF
PEORIA, AZ
NPI
1134521370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-0947)
Enumeration Date
2014-09-18
Last Update Date
2014-09-18
Business Address
-- SUSAN SELF
13460 N 94TH DR SUITE J2
PEORIA, AZ 85381-4835
Phone number: 623-487-7763
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Mailing Address
-- SUSAN SELF
8292 E CORTEZ DR
SCOTTSDALE, AZ 85260-5668
Phone number: 623-680-5634
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