Individual
DEANA BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 N 1ST DR UNIT 402B, PHOENIX, AZ 85003-1463
(623) 533-1809
Mailing address
734 W POLK ST, PHOENIX, AZ 85007-2539
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-19201
AZ
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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