ELAINE ROAN

TUBA CITY, AZ
NPI1659587814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  11593)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
Ms. ELAINE ROAN LISAC
160 NORTH MAIN STREET BUILDING 25
TUBA CITY, AZ 86045
Phone number: 928-283-3046
Mailing Address
Ms. ELAINE ROAN LISAC
PO BOX 2155
TUBA CITY, AZ 86045-2155
Phone number: 928-283-3346
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