Individual
CELICE KORSTEN
Active
Individual
CELICE KORSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4208
AZ
103TF0200X
Forensic Psychologist
4208
AZ
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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