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Individual

DR. CAROL L. O'SABEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LP

Contact information

Practice address
4289 CANYON LOOP, FLAGSTAFF, AZ 86005-3726
(828) 773-7522
Mailing address
4289 CANYON LOOP, FLAGSTAFF, AZ 86005-3726
(828) 773-7522

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2868
NC
103TC0700X
Clinical Psychologist
Primary
4292
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000806
NC
Enumeration date
03/17/2006
Last updated
11/26/2017
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