Individual
ROBYN KRIS DEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LASAC
Contact information
Practice address
4577 W PECOS RD, LAVEEN, AZ 85339-9002
(520) 550-6008
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(520) 550-6008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13118-LASAC
AZ
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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