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Individual

JOYCE DUSABE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9159 W GLENROSA AVE, PHOENIX, AZ 85037-0812
(443) 850-4031
Mailing address
9159 W GLENROSA AVE, PHOENIX, AZ 85037-0812
(443) 850-4031

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH7636
AZ

Other

Enumeration date
11/14/2022
Last updated
11/14/2022
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