Individual
ALLYSON H DENNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
15075 S 181ST DR, GOODYEAR, AZ 85338-7985
(623) 226-8062
Mailing address
15075 S 181ST DR, GOODYEAR, AZ 85338-7985
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-22101
AZ
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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