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Individual

MRS. MAE D. CURTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.I.S.A.C.

Contact information

Practice address
BIA BLDG 25 MAIN STREET, TUBA CITY, AZ 86045-1350
(928) 283-3033
(928) 283-3039
Mailing address
PO BOX 1094, TUBA CITY, AZ 86045-1094
(928) 283-3033
(928) 283-3039

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11008
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
329492
AZ
Enumeration date
06/07/2007
Last updated
07/08/2007
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