Individual
MRS. KYLIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 N POWER RD, SUITE 101, MESA, AZ 85215-1745
(928) 542-6700
Mailing address
919 E MAHONEY AVE, LOT 14, MESA, AZ 85204-1147
(928) 542-6700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-10288
AZ
Other
Enumeration date
07/06/2007
Last updated
01/22/2010
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