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1952879520
MARK D MANSFIELD
PHOENIX, AZ
NPI
1952879520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC-20544)
Enumeration Date
2018-11-12
Last Update Date
2022-10-13
Business Address
MARK D MANSFIELD MC, LAC
15820 N 35TH AVE STE 14
PHOENIX, AZ 85053-7608
Phone number: 602-859-9169
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Mailing Address
MARK D MANSFIELD MC, LAC
5139 E TANO ST
PHOENIX, AZ 85044-4120
Phone number: 480-241-8119
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