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1386345858
ALISA IRONSIDE
SHOW LOW, AZ
NPI
1386345858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: AZ LMFT-15886)
Enumeration Date
2023-03-13
Last Update Date
2023-03-13
Business Address
ALISA IRONSIDE LMFT
1141 E COOLEY ST STE L
SHOW LOW, AZ 85901-5100
Phone number: 928-205-1798
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Mailing Address
ALISA IRONSIDE LMFT
PO BOX 1358
SHOW LOW, AZ 85902-1358
Phone number:
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