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Search › Arizona › Child Mental Illness Respite Care

Fredrick Beaver

NPI 1922282904 · on the registry since 2007 · sole proprietor

Practice

Address
2750 N. Nino Place
Cochise, AZ 85606
Phone
(520) 253-0352

Registry record

Primary taxonomy
Child Mental Illness Respite Care
385HR2055X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona