Individual
ANGELA ALCORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-6309
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-6309
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4008620
AZ
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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