Individual
MRS. EDITH TWITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
17505 N 79TH AVE STE 410, GLENDALE, AZ 85308-8732
(623) 800-7980
(623) 242-1107
Mailing address
23592 W WAYLAND DR, BUCKEYE, AZ 85326-7245
(480) 432-6394
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15122
AZ
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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