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Individual
KIMBERLY CRAIG
Active
Individual
KIMBERLY CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAT-12004
AZ
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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