Individual
MS. MAUHASIN J FAGG-DAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5040 E SHEA BLVD #164, PHOENIX, AZ 85028, PHOENIX, AZ 85028
(480) 641-1165
Mailing address
5040 E SHEA BLVD #164,, PHOENIX,, AZ 85028
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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