Individual
JULIE KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4825 E ROOSEVELT ST, PHOENIX, AZ 85008-5917
(602) 629-6450
Mailing address
4825 E ROOSEVELT ST, PHOENIX, AZ 85008-5917
(602) 629-6450
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3816633
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
637382
—
AZ
Enumeration date
07/21/2009
Last updated
07/21/2009
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