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Individual

KATHARINE G DEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
6811 E SUPERSTITION SPRINGS BLVD, MESA, AZ 85209-4001
(623) 570-2859
Mailing address
1535 N SCOTTSDALE RD APT 3103, TEMPE, AZ 85288-1596
(162) 357-0285

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-22099
AZ

Other

Enumeration date
12/05/2023
Last updated
12/05/2023
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