DEBORA L. BLACK

PRESCOTT, AZ
NPI1487361515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-20734)
Enumeration Date2022-10-28
Last Update Date2022-10-28
Business Address
DEBORA L. BLACK LAC
240 S MONTEZUMA ST
PRESCOTT, AZ 86303-4712
Phone number: 844-384-7223
Mailing Address
DEBORA L. BLACK LAC
240 S MONTEZUMA ST STE 106
PRESCOTT, AZ 86303-4712
Phone number: 844-384-7223
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