SEACHANGE OVERALL WELLNESS, PLLC

PHOENIX, AZ
NPI1700132131
Entity TypeOrganization
Authorized ContactJOHNNY JASON BUCK
Member
480-510-8502
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: AZ  LPC-13746)
Enumeration Date2012-08-03
Last Update Date2012-08-03
Business Address
SEACHANGE OVERALL WELLNESS, PLLC
14256 S 47TH ST
PHOENIX, AZ 85044-6205
Phone number: 480-510-8502
Mailing Address
SEACHANGE OVERALL WELLNESS, PLLC
14256 S 47TH ST
PHOENIX, AZ 85044-6205
Phone number: 480-510-8502
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