Individual
SARAH BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3077 BROWNING LN, LAKESIDE, AZ 85929-5629
(928) 245-2940
Mailing address
3077 BROWNING LN, LAKESIDE, AZ 85929-5629
(928) 245-2940
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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