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Individual

DEJA ARMSTRONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17505 N 79TH AVE STE 203, GLENDALE, AZ 85308-8726
(623) 866-3375
Mailing address
17505 N 79TH AVE STE 203, GLENDALE, AZ 85308-8726

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
LAC-23052
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
AZ
Enumeration date
05/17/2021
Last updated
01/22/2025
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