Individual
CLARISSE KAMGAING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2442 E. ELEANA LANE, GILBERT, AZ 85298
(480) 247-9993
(480) 719-8105
Mailing address
2204 E FIRESTONE DR, CHANDLER, AZ 85249-4636
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
BH-4784
AZ
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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