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1255114724
BRADY LEE VICTOR FROESE
PHOENIX, AZ
NPI
1255114724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ Pending)
Enumeration Date
2023-08-17
Last Update Date
2023-08-17
Business Address
BRADY LEE VICTOR FROESE MS
14040 N CAVE CREEK RD
PHOENIX, AZ 85022-6117
Phone number: 602-358-7073
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Mailing Address
BRADY LEE VICTOR FROESE MS
6635 W HAPPY VALLEY RD STE A104-621
GLENDALE, AZ 85310-2609
Phone number: 602-358-7073
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