Individual
LYDIA BARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 W MISSOURI AVE, PHOENIX, AZ 85013-1919
(480) 939-9490
Mailing address
1420 W MISSOURI AVE, PHOENIX, AZ 85013-1919
(480) 939-9490
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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