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1700418332
CAROL ELIZABETH GUNDERSON
SCOTTSDALE, AZ
NPI
1700418332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LASAC-15120)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
Ms. CAROL ELIZABETH GUNDERSON LASAC
5010 E SHEA BLVD STE D202
SCOTTSDALE, AZ 85254-4570
Phone number: 602-569-4328
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Mailing Address
Ms. CAROL ELIZABETH GUNDERSON LASAC
5225 N 18TH DR
PHOENIX, AZ 85015-3037
Phone number: 602-206-6784
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