Individual
LINDA M SERONEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
2132 E KINGS AVE, PHOENIX, AZ 85022-2900
(602) 218-6562
Mailing address
2132 E KINGS AVE, PHOENIX, AZ 85022-2900
(602) 218-6562
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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