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Individual
MS. MARIJANE WHEELER
Active
Individual
MS. MARIJANE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LISAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11385
AZ
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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