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1225434228
KATHERINE CHERYL NISBET
PHOENIX, AZ
NPI
1225434228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-11-18
Last Update Date
2014-11-18
Business Address
-- KATHERINE CHERYL NISBET LASAC
3301 E PINCHOT AVE
PHOENIX, AZ 85018-6807
Phone number: 602-599-5525
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Mailing Address
-- KATHERINE CHERYL NISBET LASAC
202 E EARLL DR SUITE 200
PHOENIX, AZ 85012-2647
Phone number: 602-599-5404
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