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1129 W Iron Springs Rd Prescott AZ 86305-1623 | |
| (928) 899-1104 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1129 W Iron Springs Rd, Prescott, Arizona |
| Authorized Official Name and Position | Natalie Jo Webber (OWNER/THERAPIST) |
| Authorized Official Contact | 9288991104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1366 Bagdad AZ 86321-1366 Ph: (928) 243-4198 | 1129 W Iron Springs Rd Prescott AZ 86305-1623 Ph: (928) 899-1104 |
| NPI Number | 1679055412 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 08/29/2018 |
| Medicare PECOS PAC ID | 2163768391 |
|---|---|
| Medicare Enrollment ID | O20190109002199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679055412 | NPI | - | NPPES |
| Provider Name | Natalie Jo Webber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285169771 PECOS PAC ID: 3072859206 Enrollment ID: I20190109002276 |
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