Individual
KIM SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6515 S RURAL RD STE 101, TEMPE, AZ 85283-3880
(480) 656-0500
Mailing address
6515 S RURAL RD STE 101, TEMPE, AZ 85283-3880
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-12957
AZ
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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