MS. Diane Macon
MS. Diane Macon 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
1910 E Mobile LnPhoenix, AZ 85040-2439
Phone: (602) 268-4333
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Specialties & licences
| Child Mental Illness Respite Care (primary) | Taxonomy 385HR2055X · Licence 3870 (AZ) |
|---|
Record details
| NPI number | 1003982703 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 27, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | Po Box 8552, Phoenix, AZ 85066 |
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