Individual
EDILENA L KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
5402 E FELLARS DR, SCOTTSDALE, AZ 85254-1168
(602) 370-8669
Mailing address
5402 E FELLARS DR, SCOTTSDALE, AZ 85254-1168
(602) 370-8669
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-22868
AZ
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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