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Individual

MS. JOSEPHINE M HARAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCSP

Contact information

Practice address
4502 N CENTRAL AVE, PHOENIX, AZ 85012-1817
(602) 764-6500
Mailing address
540 W MESETO AVE, MESA, AZ 85210-7560
(480) 813-9493

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
588634
AZ
Enumeration date
03/02/2007
Last updated
07/25/2007
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