Individual
MRS. KYRIE ANN CONSEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14050 N 83RD AVE, STE 290, PEORIA, AZ 85381-5650
(480) 349-1031
(480) 535-1510
Mailing address
14050 N 83RD AVE, STE 290, PEORIA, AZ 85381
(480) 349-1031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12376
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329691
—
AZ
Enumeration date
05/08/2008
Last updated
07/26/2021
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