DIANE DE GEORGE

GLENDALE, AZ
NPI1730579327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-11685)
Enumeration Date2015-02-03
Last Update Date2021-08-25
Business Address
DIANE DE GEORGE LISAC
5801 N 51ST AVE
GLENDALE, AZ 85301-6057
Phone number: 602-685-6000
Mailing Address
DIANE DE GEORGE LISAC
3003 N CENTRAL AVE STE 400
PHOENIX, AZ 85012-2929
Phone number: 602-685-6000
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