SELF

SCOTTSDALE, AZ
NPI1912372822
Entity TypeOrganization
Authorized ContactMICHAEL RAIMONDI
Therapist
602-569-4328
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: AZ  LPC 14499)
Enumeration Date2015-12-02
Last Update Date2015-12-02
Business Address
SELF
5010 E SHEA BLVD STE D202
SCOTTSDALE, AZ 85254-4570
Phone number: 602-569-4328
Mailing Address
SELF
5010 E SHEA BLVD STE D202
SCOTTSDALE, AZ 85254-4570
Phone number: 602-569-4328
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