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1164295812
SCOTT RICHARD DRIVER
PHOENIX, AZ
NPI
1164295812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-22969)
Enumeration Date
2023-11-03
Last Update Date
2024-04-24
Business Address
SCOTT RICHARD DRIVER LAC
1514 W ROMA AVE
PHOENIX, AZ 85015-3831
Phone number: 480-747-2684
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Mailing Address
SCOTT RICHARD DRIVER LAC
1514 W ROMA AVE
PHOENIX, AZ 85015-3831
Phone number: 480-747-2684
Copy
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