Individual
MS. KELLY SUZANNE SEVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. , P.P.S.
Contact information
Practice address
5725 N 27TH AVE, PHOENIX, AZ 85017-2657
(602) 336-2000
Mailing address
5725 N 27TH AVE, PHOENIX, AZ 85017-2657
(602) 336-2000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
994394
AHCCCS
AZ
Enumeration date
02/23/2007
Last updated
07/08/2007
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