Individual
TODD KEMMERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
861 E CHELSEA DR, QUEEN CREEK, AZ 85242-5658
(480) 888-9895
Mailing address
861 E CHELSEA DR, QUEEN CREEK, AZ 85242-5658
(480) 888-9895
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
26221
AZ
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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