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Individual

MRS. KIM IRENE DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1010 E 10TH STREET, TUCSON, AZ 85719
(520) 908-4400
Mailing address
251 E. PASEO CELESTIAL, SAHUARITA, AZ 85629
(520) 792-4107

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
584111
AZ
Enumeration date
05/02/2007
Last updated
01/26/2011
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