Individual
JENNIFER HARGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15802 N PARKVIEW PL, SURPRISE, AZ 85374
(623) 876-7022
Mailing address
1623 W DION DR, ANTHEM, AZ 85086-2966
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Enumeration date
10/25/2006
Last updated
07/26/2007
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