Miranda McCoy
Miranda McCoy is a Child Mental Illness Respite Care in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2006
Practice location Address checks out
5205 W Fulton StPhoenix, AZ 85043-2000
Phone: (623) 204-8901
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Specialties & licences
| Child Mental Illness Respite Care (primary) | Taxonomy 385HR2055X · Licence 11361 (AZ) |
|---|
Record details
| NPI number | 1487722369 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 1, 2006 |
| Last updated in NPPES | December 14, 2007 |
| Mailing address | 5205 W. Fulton, Phoenix, AZ 85043 |
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