Individual
MRS. ROSALIE SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
17505 N 79TH AVE STE 311, GLENDALE, AZ 85308-8730
(480) 561-4896
Mailing address
12018 W TAYLOR ST, AVONDALE, AZ 85323-7207
(602) 570-3851
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-18105
AZ
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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