Individual
MAKEDA NICOLE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 E BUCKEYE RD, PHOENIX, AZ 85034-4020
(602) 705-7308
(602) 252-2482
Mailing address
5239 S 33RD DR, PHOENIX, AZ 85041-7411
(602) 705-7308
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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