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1689427668
MICHAEL WHITWORTH
PEORIA, AZ
NPI
1689427668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ 19499)
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
MICHAEL WHITWORTH LAC
13260 N 94TH DR STE 100
PEORIA, AZ 85381-4242
Phone number: 623-487-7763
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Mailing Address
MICHAEL WHITWORTH LAC
13260 N 94TH DR STE 100
PEORIA, AZ 85381-4242
Phone number: 623-487-7763
Copy
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