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General NPI Number Information
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NPI Number | 1285436055
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Entity Type | Individual
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Provider Name | MAGGIE GRENIER LPC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 709 N ALLRED LN # 104-105
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City | THATCHER
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State | AZ
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Zip | 85552-5561
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Country | US
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Telephone | 928-362-7343
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Fax |
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Provider Business Mailing Address
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Address Line | 7750 E BROADWAY BLVD STE A200
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City | TUCSON
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State | AZ
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Zip | 85710-3903
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-23734
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License Number State | AZ
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