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Individual

MRS. BRENDA LEE NEELEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, LISAC

Contact information

Practice address
13100 S. SUNLAND GIN ROAD, ARIZONA CITY, AZ 85123-4872
(520) 413-2750
(520) 466-5266
Mailing address
PO BOX 4872, ARIZONA CITY, AZ 85123-2730
(520) 413-2750
(520) 466-5266

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11428
AZ
104100000X
Social Worker
LMSW-13976
AZ

Other

Enumeration date
07/03/2014
Last updated
07/03/2014
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