| Missing Pieces.org | |
|
20316 N 106th Dr. Peoria AZ 85382 | |
| (602) 499-0841 | |
| Not Available |
| Full Name | Missing Pieces.org |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 20316 N 106th Dr., Peoria, Arizona |
| Authorized Official Name and Position | Trudy Mae Johnson (PRESIDENT) |
| Authorized Official Contact | 6024990841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missing Pieces.org 20316 N 106th Dr. Peoria AZ 85382 Ph: (602) 499-0841 | Missing Pieces.org 20316 N 106th Dr. Peoria AZ 85382 Ph: (602) 499-0841 |
| NPI Number | 1306555818 |
|---|---|
| Provider Enumeration Date | 11/23/2022 |
| Last Update Date | 11/23/2022 |
| Certification Date | 11/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306555818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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