Individual
ALISA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4633 S 17TH WAY, PHOENIX, AZ 85040-2445
(602) 323-2431
Mailing address
4633 S 17TH WAY, PHOENIX, AZ 85040-2445
(602) 323-2431
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
5427
AZ
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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