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1912495839
INNOVATIVE THERAPEUTIC SERVICES
PHOENIX, AZ
NPI
1912495839
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Entity Type
Organization
Authorized Contact
GWYNETTH ELAINE KELLY
Clinical Director
602-320-7925
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2018-04-26
Last Update Date
2022-05-04
Business Address
INNOVATIVE THERAPEUTIC SERVICES
15600 N BLACK CANYON HWY STE C103
PHOENIX, AZ 85053-4055
Phone number: 602-320-7925
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Mailing Address
INNOVATIVE THERAPEUTIC SERVICES
15600 N BLACK CANYON HWY # C103
PHOENIX, AZ 85053-4055
Phone number: 602-320-7925
Copy
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