Individual
KIMBERLY ANN EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15810 N 35TH AVE, PHOENIX, AZ 85053-3820
(866) 207-3882
(480) 498-3612
Mailing address
15810 N 35TH AVE, PHOENIX, AZ 85053-3820
(866) 207-3882
(480) 498-3612
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-11838
AZ
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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