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Individual

ZIONGLORIA HEZEKIAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
11979 W. FILLMORE ST, AVONDALE, AZ 85323
(520) 709-5418
Mailing address
11979 W. FILLMORE ST, AVONDALE, AZ 85323
(520) 709-5418

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
NONE
MS
101YP1600X
Pastoral Counselor
Primary
NONE
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
520-709-5418
PHONE 520-709-5418
AZ
01
520-709-5418
PHONE 520-709-5418
MS
Enumeration date
01/10/2020
Last updated
11/16/2022
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