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Individual

STEPHEN MALSBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LIAC

Contact information

Practice address
1149 E 11TH ST, CASA GRANDE, AZ 85122-3609
(602) 769-2142
Mailing address
13377 N SANDARIO RD UNIT 54, MARANA, AZ 85653-9614
(630) 319-8667

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LIAC-0768
AZ

Other

Enumeration date
10/04/2025
Last updated
10/04/2025
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