Individual
DEBORAH L. WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4737 N 104TH DR, PHOENIX, AZ 85037-5025
(623) 925-1602
Mailing address
4737 N 104TH DR, PHOENIX, AZ 85037-5025
(623) 925-1602
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
11396
AZ
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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