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1265163950
MICHAEL PELAEZ
MESA, AZ
NPI
1265163950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LASAC-15528)
Enumeration Date
2022-06-22
Last Update Date
2024-06-13
Business Address
MICHAEL PELAEZ LASAC
11247 E CONTESSA ST
MESA, AZ 85207-2398
Phone number: 928-900-4474
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Mailing Address
MICHAEL PELAEZ LASAC
11247 E CONTESSA ST
MESA, AZ 85207-2398
Phone number: 928-900-4474
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