Individual
JULIET IBEABUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6606 W MULBERRY DR, PHOENIX, AZ 85033-5250
(602) 699-1780
Mailing address
6606 W MULBERRY DR, PHOENIX, AZ 85033-5250
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH8423
AZ
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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