Individual
LISA FRANKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5526 S PRAISE AVE, FORT MOHAVE, AZ 86426-8893
(928) 278-9604
Mailing address
5526 S PRAISE AVE, FORT MOHAVE, AZ 86426-8893
(928) 205-1127
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
6414090
AZ
385HR2055X
Child Mental Illness Respite Care
6414090
AZ
Other
Enumeration date
11/06/2017
Last updated
02/04/2021
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