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Individual

LINDRA MILAN FISHLEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MC, LAC

Contact information

Practice address
11225 N 28TH DR STE 218, PHOENIX, AZ 85029-5606
(602) 883-3646
Mailing address
11225 N 28TH DR STE 218, PHOENIX, AZ 85029-5606

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-12664
AZ

Other

Enumeration date
01/09/2019
Last updated
01/09/2019
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