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Organization

MAGGIE'S PLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA MAGRUDER (CEO)
(602) 596-4985
Entity
Organization

Contact information

Practice address
4001 N 30TH ST, PHOENIX, AZ 85016-6810
(480) 221-2902
Mailing address
4001 N 30TH ST, PHOENIX, AZ 85016-6810
(480) 221-2902

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
12/30/2019
Last updated
12/30/2019
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