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1962630350
PATRICIA L. DAVIS
GLENDALE, AZ
NPI
1962630350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-11893)
Enumeration Date
2009-06-24
Last Update Date
2014-04-07
Business Address
Miss PATRICIA L. DAVIS LISAC
13820 NORTH 51ST AVE 100
GLENDALE, AZ 85306-9306
Phone number: 623-398-8904
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Mailing Address
Miss PATRICIA L. DAVIS LISAC
13820 NORTH 51ST AVE 100
GLENDALE, AZ 85306-9306
Phone number: 623-398-8904
Copy
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