TRACEY DENISE MANIGAULT

PHOENIX, AZ
NPI1386171650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
(Licence: AZ  4241632)
Enumeration Date2017-05-17
Last Update Date2017-05-17
Business Address
TRACEY DENISE MANIGAULT MA., CSP
8900 N CENTRAL AVE STE 105
PHOENIX, AZ 85020-2846
Phone number: 928-206-1766
Mailing Address
TRACEY DENISE MANIGAULT MA., CSP
17364 W ELAINE DR
GOODYEAR, AZ 85338-1985
Phone number:
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