Individual
CLARE B WADDICOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LAC
Contact information
Practice address
4747 N 7TH ST, PHOENIX, AZ 85014-3653
(602) 997-2880
Mailing address
15826 N 50TH ST, SCOTTSDALE, AZ 85254-1697
(602) 405-4414
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-17326
AZ
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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