Individual
CHRISTIE JEAN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 E FORREST FEEZOR ST, VAIL, AZ 85641-2795
(520) 603-9021
Mailing address
81 E FORREST FEEZOR ST, VAIL, AZ 85641-2795
(520) 603-9021
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
3766
AZ
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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