Individual
THERESA HARCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4884 N IVANHOE CIR, PRESCOTT VALLEY, AZ 86314-7150
(928) 759-9379
Mailing address
4884 N IVANHOE CIR, PRESCOTT VALLEY, AZ 86314-7150
(928) 759-9379
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
BH4549
AZ
Other
Enumeration date
08/28/2015
Last updated
04/11/2016
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