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Individual

MISS HELEN BAIYUSH EKHOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3764 HEATHER AVE, KINGMAN, AZ 86401-3836
(928) 716-6508
Mailing address
3764 HEATHER AVE, KINGMAN, AZ 86401-3836
(928) 716-6508

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
04/20/2019
Last updated
04/20/2019
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