Individual
SUZANNE MAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
119 GARDEN ST, PRESCOTT, AZ 86305-2905
(602) 425-0001
Mailing address
10896 E SINGLETREE TRL, DEWEY, AZ 86327-5433
(602) 425-0001
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-23212
AZ
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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