Individual
PERRY EMERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 N 77TH ST, SCOTTSDALE, AZ 85257-2238
(480) 861-9002
Mailing address
5019 E GLENCOVE ST, MESA, AZ 85205-3473
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-18273
AZ
Other
Enumeration date
02/27/2022
Last updated
02/27/2022
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