| Lis J Dodd, Pllc | |
|
501 East Plaza Circle Suite B Litchfield Park AZ 85340 | |
| (602) 708-3358 | |
| Not Available |
| Full Name | Lis J Dodd, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 501 East Plaza Circle, Litchfield Park, Arizona |
| Authorized Official Name and Position | Lisa Joanne Dodd (OWNER) |
| Authorized Official Contact | 6027083358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lis J Dodd, Pllc Po Box 387 Litchfield Park AZ 85340-0387 Ph: (602) 708-3358 | Lis J Dodd, Pllc 501 East Plaza Circle Suite B Litchfield Park AZ 85340 Ph: (602) 708-3358 |
| NPI Number | 1528351269 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 05/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528351269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC10205 (Arizona) | Primary |
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