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Individual

GUSTAVO MCGREW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISAC

Contact information

Practice address
625 N PLAZA DR, APACHE JUNCTION, AZ 85120-5501
(480) 983-0065
(480) 288-5339
Mailing address
PO BOX 3160, APACHE JUNCTION, AZ 85117-4115
(480) 983-0065
(480) 288-5339

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
01/07/2013
Last updated
01/07/2013
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