Individual
CLAY SNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17533 W ROCK LEDGE RD, GOODYEAR, AZ 85338-5723
(623) 850-9242
Mailing address
17533 W ROCK LEDGE RD, GOODYEAR, AZ 85338-5723
(623) 850-9242
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
6527993
AZ
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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