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Organization

CAPRIOLE THERAPEUTIC SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BETH M STODDARD MA (OWNER)
(623) 293-2282
Entity
Organization

Contact information

Practice address
14510 W SHUMWAY DR, SUITE #202, SUN CITY WEST, AZ 85375-5814
(623) 293-2282
(866) 920-8488
Mailing address
14510 W SHUMWAY DRIVE, SUITE #202, SUN CITY WEST, AZ 85375
(623) 293-2282
(866) 920-8488

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10994
AZ
101YP2500X
Professional Counselor
Primary
LPC-13208
AZ

Other

Enumeration date
08/28/2009
Last updated
08/28/2009
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