Lance Cory Devero

NPI #1811667173 in Laveen, Arizona

Provider Information

NPI Number
1811667173
Entity Type
Individual
Name
Lance Cory Devero
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Sep 17, 2021
Last Updated
Sep 17, 2021

Practice Location

Address
8406 S 49TH LN
City
Laveen
State
Arizona
ZIP Code
85339-2159
Phone
(215) 678-7702

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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