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1295818607
JESSICA AUDRYLEE WHITAKER
GLENDALE, AZ
NPI
1295818607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LCSW10272)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
Mrs. JESSICA AUDRYLEE WHITAKER MSW
7219 N LITCHFIELD RD BLDG 317 56MOS/SGOHF - LUKE AIR FORCE BASE
GLENDALE, AZ 85309-1529
Phone number: 877-557-3422
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Mailing Address
Mrs. JESSICA AUDRYLEE WHITAKER MSW
5901 W BEHREND DR APT 2134
GLENDALE, AZ 85308-6954
Phone number: 623-877-0599
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