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1407346778
DALISA JIMENEZ
PHOENIX, AZ
NPI
1407346778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-17074)
Enumeration Date
2018-05-13
Last Update Date
2019-11-01
Business Address
DALISA JIMENEZ
4425 E AGAVE RD STE 106
PHOENIX, AZ 85044-0620
Phone number: 480-248-5338
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Mailing Address
DALISA JIMENEZ
4425 E AGAVE RD STE 106
PHOENIX, AZ 85044-0620
Phone number: 480-248-5338
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