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1346952132
MARA LENA CARLOS
PHOENIX, AZ
NPI
1346952132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-12-23
Last Update Date
2022-12-23
Business Address
MARA LENA CARLOS
1612 E SOUTHERN AVE
PHOENIX, AZ 85040-3534
Phone number: 520-907-1437
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Mailing Address
MARA LENA CARLOS
1612 E SOUTHERN AVE
PHOENIX, AZ 85040-3534
Phone number: 520-907-1437
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