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1154020931
MARY KINGERY
PHOENIX, AZ
NPI
1154020931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ 15409)
Enumeration Date
2023-03-01
Last Update Date
2023-03-01
Business Address
MARY KINGERY LASAC
1934 E CAMELBACK RD STE 120-172
PHOENIX, AZ 85016-4126
Phone number: 480-882-7383
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Mailing Address
MARY KINGERY LASAC
1934 E CAMELBACK RD STE 120-172
PHOENIX, AZ 85016-4126
Phone number: 480-882-7383
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