Individual
JOSH WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6811 S 39TH PL, PHOENIX, AZ 85042-6202
(602) 790-1154
Mailing address
6811 S 39TH PL, PHOENIX, AZ 85042-6202
(602) 790-1154
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
622289
AZ
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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