Individual
MRS. RENEA LYNN HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22833 N 71ST AVE, GLENDALE, AZ 85310-5201
(623) 376-3319
Mailing address
6612 W BROOKHART WAY, PHOENIX, AZ 85085-7402
(623) 388-6986
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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