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1790938157
MICHAEL JOSEPH REDIVO
PHOENIX, AZ
NPI
1790938157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: AZ 3433)
Enumeration Date
2008-10-29
Last Update Date
2008-10-29
Business Address
-- MICHAEL JOSEPH REDIVO Ph.D.
4229 N 16TH ST
PHOENIX, AZ 85016-5318
Phone number: 602-277-4482
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Mailing Address
-- MICHAEL JOSEPH REDIVO Ph.D.
4229 N 16TH ST
PHOENIX, AZ 85016-5318
Phone number: 602-277-4482
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