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1255805131
RYAN ZIMMERMAN
GOODYEAR, AZ
NPI
1255805131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-17247)
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
Mr. RYAN ZIMMERMAN LAC
15655 W ROOSEVELT ST
GOODYEAR, AZ 85338-9282
Phone number: 623-451-5917
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Mailing Address
Mr. RYAN ZIMMERMAN LAC
PO BOX 7405
GOODYEAR, AZ 85338-0641
Phone number: 623-337-2275
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