Individual
MICHELE LALICATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
2899 E FANDANGO DR, GILBERT, AZ 85298-8769
(480) 821-4898
Mailing address
2899 E FANDANGO DR, GILBERT, AZ 85298-8769
(480) 821-4898
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717000580
VA
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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