Individual
CLARE DAHLIA ST. CATHERINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6605 N 19TH AVE STE B, PHOENIX, AZ 85015-1628
(917) 755-0025
Mailing address
6605 N 19TH AVE STE B, PHOENIX, AZ 85015-1628
(917) 755-0025
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4140670
AZ
Other
Enumeration date
08/10/2021
Last updated
11/15/2021
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