Individual
MRS. KELLY ANNE MAGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., M.ED.
Contact information
Practice address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
(602) 589-0110
(602) 589-0140
Mailing address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
(602) 589-0110
(602) 589-0140
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
572918
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
572918
AHCCCS
AZ
Enumeration date
02/20/2007
Last updated
07/08/2007
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