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Individual

MRS. EDEN A MCINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
5805 S 52ND LN, LAVEEN, AZ 85339-2443
(480) 709-8236
Mailing address
5805 S 52ND LN, LAVEEN, AZ 85339-2443
(480) 709-8236

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-21044
AZ

Other

Enumeration date
04/18/2023
Last updated
04/18/2023
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