Individual
DOROTHY BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7994
(928) 537-2591
Mailing address
191 W DEUCE OF CLUBS UNIT 2815, SHOW LOW, AZ 85902-4490
(808) 772-9509
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19870
AZ
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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