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Individual

LILY SPURLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
455 E 6TH ST, MESA, AZ 85203-7118
(855) 772-8847
Mailing address
1831 W ROSE GARDEN LN STE 4, PHOENIX, AZ 85027-2725
(602) 497-4596

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/12/2024
Last updated
01/06/2026
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