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1770952772
PHAEDRA HENDERSON
MESA, AZ
NPI
1770952772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-19
Last Update Date
2015-09-19
Business Address
-- PHAEDRA HENDERSON
32 S MACDONALD
MESA, AZ 85210-1310
Phone number: 480-969-1471
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Mailing Address
-- PHAEDRA HENDERSON
32 S MACDONALD
MESA, AZ 85210-1310
Phone number: 480-969-1471
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