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Organization

LIFE CHOICES PROFESSIONAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREA S WADDELL-PRATT PH.D. (CLINICAL PSYCHOLOGIST)
(602) 462-1115
Entity
Organization

Contact information

Practice address
810 N 6TH AVE, PHOENIX, AZ 85003-1318
(602) 462-1115
(602) 462-1119
Mailing address
810 N 6TH AVE, PHOENIX, AZ 85003-1318
(602) 462-1115
(602) 462-1119

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3384
AZ

Other

Enumeration date
09/11/2013
Last updated
09/11/2013
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