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1750680245
DORA EDNA GOLDEN
PHOENIX, AZ
NPI
1750680245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC#10779)
Enumeration Date
2011-03-23
Last Update Date
2011-03-23
Business Address
Mrs. DORA EDNA GOLDEN BA LISAC CSAT
4545 N. 36TH STREET SUITE 121
PHOENIX, AZ 85018
Phone number: 602-826-1316
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Mailing Address
Mrs. DORA EDNA GOLDEN BA LISAC CSAT
4545 N. 36TH STREET SUITE 121
PHOENIX, AZ 85018
Phone number: 602-826-1316
Copy
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