Individual
MRS. SUSIE GARLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAPC, LAC
Contact information
Practice address
389 E PALM LN, PHOENIX, AZ 85004-1532
(623) 521-9043
Mailing address
389 E PALM LN, PHOENIX, AZ 85004-1532
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-15225
AZ
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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