Individual
MS. PRISCILLA MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.
Contact information
Practice address
138 W MONONA DR, 14432 S. 43RD STREET, PHOENIX, AZ. 85044, PHOENIX, AZ 85027-5962
(480) 840-5702
Mailing address
PO BOX 71743, 138 W. MONONA DRIVE, PHOENIX, AZ 85050-1013
(480) 840-5702
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X
AZ
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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