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NPI Code Detail

MEDICARE: DAWNA SNIDER LAC

MEDICARE: DAWNA SNIDER LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLAC-15243AZ

General Provider Information

NPI Number : 1528462512
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWNA SNIDER LAC
Provider Business Mailing Address
First Line : 10451 W PALMERAS DR
Second Line :
City : SUN CITY
State : AZ
Zip : 85373-2011
Country : US
Telephone Number : 480-420-7857
Fax Number :
Provider Business Practice Location Address
First Line : 10451 W PALMERAS DR
Second Line :
City : SUN CITY
State : AZ
Zip : 85373-2011
Country : US
Telephone Number : 480-420-7857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2014
Last Update Date : 10/20/2014

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Directions to “ DAWNA SNIDER LAC” Practice Location

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