Individual
DR. LAKISHA JESSICA NOSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2217 W GLENDALE AVE, PHOENIX, AZ 85021-7729
(623) 915-8411
(623) 915-8437
Mailing address
2217 W GLENDALE AVE, PHOENIX, AZ 85021-7729
(623) 915-8411
(623) 915-8437
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4290054
AZ
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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