Individual
DEBRA TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 W 18TH AVE, APACHE JUNCTION, AZ 85120-6348
(480) 510-1837
Mailing address
1445 W 18TH AVE, APACHE JUNCTION, AZ 85120-6348
(480) 510-1837
(602) 455-4624
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
11092
AZ
385HR2055X
Child Mental Illness Respite Care
11092
AZ
Other
Enumeration date
12/28/2006
Last updated
03/19/2020
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