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Individual

ALLISON SUZANNE DUQUETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
5050 E THOMAS RD, PHOENIX, AZ 85018-7913
(760) 390-4702
Mailing address
2028 E FLOWER ST, PHOENIX, AZ 85016-7214
(760) 390-4702

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-17187
AZ

Other

Enumeration date
02/05/2019
Last updated
02/05/2019
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