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Individual
MS. MARY ELIZABETH LIBBY TIMMONS
Active
Individual
MS. MARY ELIZABETH LIBBY TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC CEAP SAP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1713
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC 1642
AZ
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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