Individual
MARIA L DUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 W TALAVI BLVD, STE 180, GLENDALE, AZ 85306-1886
(623) 486-8202
(623) 486-2739
Mailing address
4747 N 7TH ST, STE 100, PHOENIX, AZ 85014-3653
(602) 279-7655
(602) 264-1806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC13514
AZ
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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