Laurie, Debra Marie
Laurie, Debra Marie is an sole proprietor health care provider with primary practice located at 5062 N 19Th Ave Suite # 102, Phoenix AZ 85015-3225. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Laurie, Debra Marie can be contacted via phone (623) 939-6567.Contact Information
Primary practice address
5062 N 19Th Ave Suite # 102
Phoenix AZ 85015-3225
Phone: (623) 939-6567
Fax: (623) 939-7365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-1673 | Arizona |
Profile Details
| NPI number | 1821333832 |
|---|---|
| LBN Legal business name | Laurie, Debra Marie |
| Credentials | MSW, LISAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2012 |
| Last updated | Dec 2nd, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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