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1902429418
BENJAMIN PEDRAZA
PHOENIX, AZ
NPI
1902429418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-18771)
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
BENJAMIN PEDRAZA
4414 N 19TH AVE
PHOENIX, AZ 85015-4114
Phone number: 602-285-5550
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Mailing Address
BENJAMIN PEDRAZA
1350 E NORTHERN AVE APT 332
PHOENIX, AZ 85020-4251
Phone number: 602-821-9154
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