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Individual

KAILEY BETH SHELBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2525 W CAREFREE HWY STE 102, PHOENIX, AZ 85085-9302
(210) 771-2554
Mailing address
2002 W CLARENDON AVE, PHOENIX, AZ 85015-5431
(210) 771-2554

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-7494T
AZ

Other

Enumeration date
10/12/2022
Last updated
10/12/2022
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