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1710476213
ANDREW D MEDINA
PHOENIX, AZ
NPI
1710476213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-17122)
Enumeration Date
2018-05-09
Last Update Date
2018-12-03
Business Address
ANDREW D MEDINA LCSW
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-0990
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Mailing Address
ANDREW D MEDINA LCSW
3200 E CAMELBACK RD STE 250
PHOENIX, AZ 85018-2327
Phone number: 602-933-1813
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