Individual
EMILY MAXINE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8709 W FAIRMOUNT AVE, PHOENIX, AZ 85037-2341
(623) 418-8750
Mailing address
8709 W FAIRMOUNT AVE, PHOENIX, AZ 85037-2341
(623) 418-8750
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
11356
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AHCCCS
110729
AZ
Enumeration date
11/20/2006
Last updated
07/08/2007
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