ELLEN CUSACK VIMMERSTEDT

PHOENIX, AZ
NPI1437368081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LPC-1266)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
Mrs. ELLEN CUSACK VIMMERSTEDT M.A.
301 E BETHANY HOME RD C-296
PHOENIX, AZ 85012-1263
Phone number: 602-266-8442
Mailing Address
Mrs. ELLEN CUSACK VIMMERSTEDT M.A.
301 E BETHANY HOME RD C-296
PHOENIX, AZ 85012-1263
Phone number: 602-266-8442
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