Individual
JULIE CHEETHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
900 E FLORENCE BLVD, SUITE G, CASA GRANDE, AZ 85122-4666
(520) 836-4278
Mailing address
2454 N CASA NUEVA CIR, CASA GRANDE, AZ 85122-1113
(520) 251-8986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LBSW13156
AZ
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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