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1821333832
DEBRA MARIE LAURIE
PHOENIX, AZ
NPI
1821333832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-1673)
Enumeration Date
2012-12-02
Last Update Date
2012-12-02
Business Address
-- DEBRA MARIE LAURIE MSW, LISAC
5062 N 19TH AVE SUITE # 102
PHOENIX, AZ 85015-3225
Phone number: 623-939-6567
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Mailing Address
-- DEBRA MARIE LAURIE MSW, LISAC
5062 N 19TH AVE SUITE # 102
PHOENIX, AZ 85015-3225
Phone number: 623-939-6567
Copy
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