Individual
DIANNA BURCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2980 W WILLIAMS RD, BENSON, AZ 85602-7615
(520) 586-2330
(520) 586-2330
Mailing address
2980 W WILLIAMS RD, BENSON, AZ 85602-7615
(520) 586-2330
(520) 586-2330
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
8445
AZ
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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