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1184875767
EDWARD RUSSELL MANN
PHOENIX, AZ
NPI
1184875767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ lcsw18641)
Enumeration Date
2008-10-01
Last Update Date
2008-10-01
Business Address
Dr. EDWARD RUSSELL MANN phd
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
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Mailing Address
Dr. EDWARD RUSSELL MANN phd
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
Copy
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