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1336566124
LOUISE EGAN
PHOENIX, AZ
NPI
1336566124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC - 10073)
Enumeration Date
2014-03-18
Last Update Date
2014-03-18
Business Address
-- LOUISE EGAN
4220 N 20TH AVE 100
PHOENIX, AZ 85015-5101
Phone number: 602-254-9701
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Mailing Address
-- LOUISE EGAN
4220 N 20TH AVE 100
PHOENIX, AZ 85015-5101
Phone number: 602-254-9701
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