EMPACT-SPC

GLENDALE, AZ
NPI1164508875
Entity TypeOrganization
Authorized ContactSONDRA KAY WILKINSON
Family Therapist
480-784-1514
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: AZ  LPC-12392)
Enumeration Date2006-10-27
Last Update Date2020-08-22
Business Address
EMPACT-SPC
4425 W OLIVE AVE SUITE 194
GLENDALE, AZ 85302-3843
Phone number: 480-784-1514
Mailing Address
EMPACT-SPC
6629 N 90TH DR
GLENDALE, AZ 85305-2043
Phone number: 623-872-7468
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