Individual
TROY LEE DAMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2819 W EVANS DR, PHOENIX, AZ 85053-5819
(623) 329-6543
Mailing address
2819 W EVANS DR, PHOENIX, AZ 85053-5819
(623) 329-6543
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
2263386
AZ
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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