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Organization

LIFELINE AT ALPHAOMEGA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROXANNE DALPOS (CLINICAL DIRECTOR)
(480) 641-1165
Entity
Organization

Contact information

Practice address
335 N ALMA SCHOOL RD, CHANDLER, AZ 85224-4363
(480) 641-1165
Mailing address
335 N ALMA SCHOOL RD, CHANDLER, AZ 85224-4363

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
08/19/2015
Last updated
08/19/2015
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