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1649945023
IMAGINE CHANGE COUNSELING AND PSYCHOTHERAPY, PLLC
PHOENIX, AZ
NPI
1649945023
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Entity Type
Organization
Authorized Contact
SHANNON JACOBSON
Owner
424-298-0560
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-08-09
Last Update Date
2021-08-09
Business Address
IMAGINE CHANGE COUNSELING AND PSYCHOTHERAPY, PLLC
1822 E BLUEFIELD AVE
PHOENIX, AZ 85022-1324
Phone number: 424-298-0560
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Mailing Address
IMAGINE CHANGE COUNSELING AND PSYCHOTHERAPY, PLLC
1822 E BLUEFIELD AVE
PHOENIX, AZ 85022-1324
Phone number: 424-298-0560
Copy
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