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Individual

LIANNA MARIE DUNLAP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4500 N 32ND ST STE 201A, PHOENIX, AZ 85018-3397
(480) 799-5079
Mailing address
4500 N 32ND ST STE 201A, PHOENIX, AZ 85018-3397
(480) 799-5079
(866) 833-2056

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
AZ
106S00000X
Behavior Technician

Other

Enumeration date
12/18/2018
Last updated
12/18/2018
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