Individual
MR. KEVIN C FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4117 N 17TH ST, PHOENIX, AZ 85016-5921
(602) 258-6797
Mailing address
2702 N 8TH ST, PHOENIX, AZ 85006-1010
(602) 258-6797
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-0629
AZ
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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