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Individual

DENISE N ANTONIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1098 N HOBBLE STRAP ST, PRESCOTT VALLEY, AZ 86314-1445
(928) 273-9023
Mailing address
1098 N HOBBLE STRAP ST, PRESCOTT VALLEY, AZ 86314-1445
(928) 273-9023

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
251S00000X
Community/Behavioral Health Agency
253J00000X
Foster Care Agency
385HR2055X
Child Mental Illness Respite Care
385HR2055X
AZ

Other

Enumeration date
11/06/2007
Last updated
03/19/2026
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