Individual
GRACIE GONZALEZ PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LAC
Contact information
Practice address
7125 S 7TH ST, PHOENIX, AZ 85042-4245
(602) 999-2400
Mailing address
7125 S 7TH ST, PHOENIX, AZ 85042-4245
(602) 999-2400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC18649
AZ
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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