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Organization
STATE 48 PSYCHIATRY PLLC
Active
Organization
STATE 48 PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SKOUSEN PMHNP (OWNER)
(480) 586-0035
Entity
Organization
Contact information
Practice address
501 S MAIN ST, SNOWFLAKE, AZ 85937-5251
(480) 586-0035
Mailing address
1745 W WESTERN DOVE DR, SNOWFLAKE, AZ 85937-6185
(480) 586-0035
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
Other
Enumeration date
10/06/2026
Last updated
10/06/2026
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