PHYLLIS OTU

PHOENIX, AZ
NPI1447082359
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LSAT-15163)
Enumeration Date2024-08-19
Last Update Date2024-08-19
Business Address
PHYLLIS OTU LSAT
205 E OSBORN RD
PHOENIX, AZ 85012-2327
Phone number: 833-445-3711
Mailing Address
PHYLLIS OTU LSAT
205 E OSBORN RD
PHOENIX, AZ 85012-2327
Phone number: 833-445-3711
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