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1184265647
KEVIN CHRISTOPHER
SCOTTSDALE, AZ
NPI
1184265647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ LASAC-13280)
Enumeration Date
2019-10-04
Last Update Date
2019-10-04
Business Address
KEVIN CHRISTOPHER LASAC
6424 E GREENWAY PKWY STE 101
SCOTTSDALE, AZ 85254-2045
Phone number: 480-877-0406
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Mailing Address
KEVIN CHRISTOPHER LASAC
6928 E GRANDVIEW DR
SCOTTSDALE, AZ 85254-1552
Phone number: 602-446-2895
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