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1942941919
ADAIAH GOODEN
PHOENIX, AZ
NPI
1942941919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ 13228)
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
ADAIAH GOODEN LASAC
12414 N 28TH DR STE D
PHOENIX, AZ 85029-2488
Phone number: 480-442-8530
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Mailing Address
ADAIAH GOODEN LASAC
12414 N 28TH DR STE D
PHOENIX, AZ 85029-2488
Phone number:
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