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1891937116
DELORES DIANNE YOUNG
SURPRISE, AZ
NPI
1891937116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ 11359)
Enumeration Date
2009-04-01
Last Update Date
2009-04-01
Business Address
-- DELORES DIANNE YOUNG LISAC
15270 W BROOKSIDE LN
SURPRISE, AZ 85374
Phone number: 928-231-1032
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Mailing Address
-- DELORES DIANNE YOUNG LISAC
1660 W VERDE DR
WICKENBURG, AZ 85390
Phone number: 928-231-1032
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