Organization
FRESH PATH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WILSON (CEO)
(623) 748-7716
Entity
Organization
Contact information
Practice address
1602 W LOUGHLIN DR, CHANDLER, AZ 85224-1848
(480) 751-7711
Mailing address
1602 W LOUGHLIN DR, CHANDLER, AZ 85224-1848
(480) 751-7711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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