Individual
POLLY MUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44174 W CANYON CREEK DR, MARICOPA, AZ 85139-5411
(330) 309-2826
Mailing address
44174 W CANYON CREEK DR, MARICOPA, AZ 85139-5411
(330) 309-2826
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
2100892
AZ
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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