Individual
JACQUELINE SCHLOSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
237 S. WASHINGTON AVE., PRESCOTT, AZ 86303
(480) 204-9479
Mailing address
237 S WASHINGTON AVE, PRESCOTT, AZ 86303-4440
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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