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1407200785
MICHAEL LATINO
PHOENIX, AZ
NPI
1407200785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LASAC-15133)
Enumeration Date
2016-04-22
Last Update Date
2016-04-22
Business Address
-- MICHAEL LATINO LASAC
2400 N CENTRAL AVE STE 101
PHOENIX, AZ 85004-1300
Phone number: 602-264-9891
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Mailing Address
-- MICHAEL LATINO LASAC
2400 N CENTRAL AVE STE 101
PHOENIX, AZ 85004-1300
Phone number: 602-264-9891
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