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Individual

KATHRYN ELIZABETH MACADANGDANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
504 W 29TH ST, TUCSON, AZ 85713
(520) 884-9920
Mailing address
504 W 29TH ST, TUCSON, AZ 85713-3353
(520) 884-9920

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC 15366
AZ
101YP2500X
Professional Counselor
Primary
LPC13948
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
346993
AZ
Enumeration date
03/31/2015
Last updated
06/08/2018
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