HAZEL LONG

SACATON, AZ
NPI1336508415
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  11544)
Enumeration Date2016-02-17
Last Update Date2016-02-17
Business Address
Mrs. HAZEL LONG LISAC
483 W. SEED FARM RD.
SACATON, AZ 85147-0001
Phone number: 602-528-1200
Mailing Address
Mrs. HAZEL LONG LISAC
PO BOX 38
SACATON, AZ 85147-0001
Phone number: 602-528-1200
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