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1508044223
TED WHITNEY ALLISON
SACATON, AZ
NPI
1508044223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-10852)
Enumeration Date
2008-02-05
Last Update Date
2008-02-05
Business Address
-- TED WHITNEY ALLISON lisac
483 SEED FARM ROAD
SACATON, AZ 85247
Phone number: 602-528-7150
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Mailing Address
-- TED WHITNEY ALLISON lisac
483 SEED FARM ROAD
SACATON, AZ 85247
Phone number: 602-528-7150
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