Individual
STACY SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3864 N 27TH AVE, PHOENIX, AZ 85017-4703
(602) 685-6000
Mailing address
3864 N 27TH AVE, PHOENIX, AZ 85017-4703
(602) 685-6000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC13889
AZ
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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