Individual
CAROL LONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10030 W INDIAN SCHOOL RD APT 148, PHOENIX, AZ 85037-5921
(602) 402-4507
Mailing address
10030 W INDIAN SCHOOL RD APT 148, PHOENIX, AZ 85037-5921
(602) 402-4507
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11122714
AZ
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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