Individual
LUCY ANGELINA CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12558 N 76TH ST, SCOTTSDALE, AZ 85260-4808
(623) 698-2322
(480) 595-3175
Mailing address
PO BOX 910, CAREFREE, AZ 85377-0910
(623) 698-2322
(480) 595-3175
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH5328
AZ
Other
Enumeration date
03/10/2018
Last updated
03/10/2018
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