Individual
LAURA HORNBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7402 W SHANGRI LA RD, PEORIA, AZ 85345-5812
(623) 979-8446
Mailing address
8408 W WILLOW AVENUE, PEORIA, AZ 85381
(623) 418-6657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BH4687
AZ
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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