Individual
MRS. MARILENE KAY FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 376-4120
Mailing address
4919 W AUGUSTA CIR, GLENDALE, AZ 85308-3318
(602) 896-1001
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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