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1770348385
RICHARD JEWELL
PHOENIX, AZ
NPI
1770348385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-155320)
Enumeration Date
2024-02-14
Last Update Date
2024-02-14
Business Address
RICHARD JEWELL LISAC
2532 W PEORIA AVE
PHOENIX, AZ 85029-4709
Phone number: 602-583-9742
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Mailing Address
RICHARD JEWELL LISAC
2532 W PEORIA AVE
PHOENIX, AZ 85029-4709
Phone number: 602-583-9742
Copy
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