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1689101040
DOUGLAS CHARLES WINTER
PRESCOTT, AZ
NPI
1689101040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LASAC-15193)
Enumeration Date
2017-05-16
Last Update Date
2022-07-21
Business Address
DOUGLAS CHARLES WINTER LASAC
214 N ARIZONA AVE
PRESCOTT, AZ 86301-3104
Phone number: 928-776-8251
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Mailing Address
DOUGLAS CHARLES WINTER LASAC
214 N ARIZONA AVE
PRESCOTT, AZ 86301-3104
Phone number: 928-776-8251
Copy
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