Individual
DENISE MARIE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1353 ANTELOPE TRAIL, SELIGMAN, AZ 86337
(928) 814-9196
Mailing address
1353 ANTELOPE TRAIL, POB 1275, SELIGMAN, AZ 86337
(928) 814-9196
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
1446370
AZ
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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