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Individual

ABIGAIL HEDY BLACKBURN GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6734 N 10TH AVE, PHOENIX, AZ 85013-1008
(480) 466-3119
Mailing address
6734 N 10TH AVE, PHOENIX, AZ 85013-1008
(480) 466-3119

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
05/08/2019
Last updated
06/02/2025
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