Individual
PATRICIA BERKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 E TARO LN, PHOENIX, AZ 85050-2568
(602) 326-2253
Mailing address
2511 E TARO LN, PHOENIX, AZ 85050-2568
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
1406921
AZ
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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