Individual
CHASITY MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 W 29TH ST, TUCSON, AZ 85713-3353
(520) 884-9920
Mailing address
504 W 29TH ST, TUCSON, AZ 85713-3353
(520) 884-9920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC 14176
AZ
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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