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1265015143
ANGELA BASSETT
COTTONWOOD, AZ
NPI
1265015143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC15212)
Enumeration Date
2021-04-29
Last Update Date
2021-04-29
Business Address
ANGELA BASSETT
8 E COTTONWOOD ST
COTTONWOOD, AZ 86326-4382
Phone number: 877-634-7333
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Mailing Address
ANGELA BASSETT
8 E COTTONWOOD ST
COTTONWOOD, AZ 86326-4382
Phone number: 877-634-7333
Copy
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