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1346972270
AUDRE K MEDLOCK
PHOENIX, AZ
NPI
1346972270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-19716)
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
AUDRE K MEDLOCK LPC
14040 N CAVE CREEK RD # 108
PHOENIX, AZ 85022-6117
Phone number: 602-358-7073
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Mailing Address
AUDRE K MEDLOCK LPC
23380 N 61ST DR
GLENDALE, AZ 85310-5748
Phone number: 602-358-7073
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