Provider Information for 1013149269
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Miss DEBRA JEAN MAYO LPC
Other Names:Former Name:DEBBIE BLACK LPCSex: Female
NPI: 1013149269
Last Updated: 2025-02-17
Certification Date: 2025-02-17
Certification Date: 2025-02-17
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1013149269 | ||||||||||||
| Enumeration Date | 2009-08-20 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 6909 W RAY RD CHANDLER, AZ 85226-1699 United States Phone: 623-688-8010 | Fax: | ||||||||||||
| Primary Practice Address | 6909 W RAY RD CHANDLER, AZ 85226-1699 United States Phone: 623-688-8010 | Fax: | ||||||||||||
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