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1427289560
STEVEN RAY ISHAM
AVONDALE, AZ
NPI
1427289560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: AZ LBSW-1365)
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2009-08-06
Last Update Date
2009-08-06
Business Address
Prof. STEVEN RAY ISHAM M.A., L.B.S.W.
2402 N 112TH LN
AVONDALE, AZ 85392-5849
Phone number: 623-907-2828
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Mailing Address
Prof. STEVEN RAY ISHAM M.A., L.B.S.W.
2402 N 112TH LN
AVONDALE, AZ 85392-5849
Phone number: 623-907-2828
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