Individual
MS. ELVINA JEAN CHARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
HWY 264, US 191, GANADO, AZ 86505-1757
(928) 755-1020
Mailing address
PO BOX 1757, GANADO, AZ 86505-1757
(928) 755-1020
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3704675
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052607
—
AZ
Enumeration date
03/20/2008
Last updated
03/20/2008
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