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Individual

KAYCEE M PITTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2717 N STEVES BLVD STE 11, FLAGSTAFF, AZ 86004-3959
(928) 487-1213
Mailing address
2717 N STEVES BLVD STE 11, FLAGSTAFF, AZ 86004-3959
(928) 487-1213

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCSW-20885
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-20885
AZ

Other

Enumeration date
01/02/2023
Last updated
01/02/2023
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