Individual
KATHLEEN YAKAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 E MARSHALL AVE, PHOENIX, AZ 85016-3111
(602) 614-8077
Mailing address
263 W 9TH PL N, MESA, AZ 85201-4262
(480) 833-3985
(480) 659-7230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11177
AZ
Other
Enumeration date
06/15/2014
Last updated
08/22/2014
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