Provider Type: Behavioral Health & Social Service Providers
Provider Classification: Clinical Neuropsychologist
Definition of Specialization:
Address: 141 S Mccormick St
Suite 109
Prescott, AZ 86303-4729
Phone: (928) 777-2477
Fax: (602) 274-7402
Authorized Official: Dr. Blackwood, Harold Daniel, PHD
Authorized Official Position: Presicent

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