Individual
MARIAN KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FP
Contact information
Practice address
40757 N CITRUS CANYON TRL, PHOENIX, AZ 85086-4932
(623) 551-5117
Mailing address
40757 N CITRUS CANYON TRL, PHOENIX, AZ 85086-4932
(623) 551-5117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
932263
—
AZ
Enumeration date
04/04/2007
Last updated
07/08/2007
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