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1518580158
CHARLIE GINN
SACATON, AZ
NPI
1518580158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ 10-114)
Enumeration Date
2020-05-18
Last Update Date
2020-05-18
Business Address
CHARLIE GINN CADC II
291 W CASA BLANCA RD
SACATON, AZ 85147
Phone number: 602-528-1200
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Mailing Address
CHARLIE GINN CADC II
PO BOX 38
SACATON, AZ 85147-0001
Phone number: 520-562-3323
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