DIEDRICH WASSERBAUER

GLENDALE, AZ
NPI1225888142
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-19445)
Enumeration Date2024-03-25
Last Update Date2025-03-17
Business Address
DIEDRICH WASSERBAUER
7075 W BELL RD STE A-1
GLENDALE, AZ 85308-8546
Phone number: 602-488-6104
Mailing Address
DIEDRICH WASSERBAUER
PO BOX 12468
GLENDALE, AZ 85318-2468
Phone number: 602-339-2457
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