Individual
VIRGINIA MYRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21140 N BLUE AGAVE DR, MARICOPA, AZ 85138-6109
(951) 550-9427
Mailing address
21140 N BLUE AGAVE DR, MARICOPA, AZ 85138-6109
(951) 550-9427
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
112009
CA
Other
Enumeration date
06/27/2016
Last updated
07/31/2024
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