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1881325074
TRENTON DOUGLAS BLOCKER
PHOENIX, AZ
NPI
1881325074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-20284)
Enumeration Date
2022-06-20
Last Update Date
2022-06-20
Business Address
TRENTON DOUGLAS BLOCKER MS, LAC, BHP
2102 W BETHANY HOME RD
PHOENIX, AZ 85015-1935
Phone number: 602-774-4745
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Mailing Address
TRENTON DOUGLAS BLOCKER MS, LAC, BHP
3935 N DALE DR
PRESCOTT VALLEY, AZ 86314-8210
Phone number: 928-713-0392
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