Individual
JULIE A MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
920 S. VULTURE MINE ROAD, SPECIAL SERVICES DEPT., WICKENBURG, AZ 85390
(928) 684-6714
Mailing address
PO BOX 261, WICKENBURG, AZ 85358-0261
(928) 684-6714
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084156
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
03/15/2007
Last updated
07/26/2007
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