WAYNE A. FORMICA
Agencies at Fruit Tree Ln, Queen Creek, AZ

License number
Arizona LPC 10413
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: MR. WAYNE ARTHUR FORMICA LPC
Title: LICENSED PROFESSIONAL COUNSELOR
Phone: (480) 677-4804
Address
Address
2055 W Fruit Tree Ln, Queen Creek, AZ 85242
National Provider ID: 1902092422
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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