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1710183926
LISA WHARTON
MESA, AZ
NPI
1710183926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC12152)
Enumeration Date
2007-06-25
Last Update Date
2007-07-08
Business Address
Ms. LISA WHARTON LAC
1930 S ALMA SCHOOL RD STE A104
MESA, AZ 85210-3065
Phone number: 480-820-0825
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Mailing Address
Ms. LISA WHARTON LAC
4220 N 20TH AVE
PHOENIX, AZ 85015-5101
Phone number: 602-279-7655
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