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1275146532
JACQUELINE RENEE' ALLEN
SCOTTSDALE, AZ
NPI
1275146532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-15051)
Enumeration Date
2020-08-26
Last Update Date
2020-08-26
Business Address
JACQUELINE RENEE' ALLEN MA, LISAC, CSAT
14300 N NORTHSIGHT BLVD STE 109
SCOTTSDALE, AZ 85260-3673
Phone number: 217-778-6442
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Mailing Address
JACQUELINE RENEE' ALLEN MA, LISAC, CSAT
14300 N NORTHSIGHT BLVD STE 109
SCOTTSDALE, AZ 85260-3673
Phone number: 217-778-6442
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