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1639799018
AMANDA WATERCOLOR GOLIGHTLY
TUCSON, AZ
NPI
1639799018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AZ LAC-18698)
Enumeration Date
2020-04-25
Last Update Date
2020-04-25
Business Address
AMANDA WATERCOLOR GOLIGHTLY LAC
2016 E BROADWAY BLVD
TUCSON, AZ 85719-5936
Phone number: 520-358-6682
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Mailing Address
AMANDA WATERCOLOR GOLIGHTLY LAC
2105 N EDISON TER
TUCSON, AZ 85716-2807
Phone number: 520-358-6682
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