Individual
AMBER RENEE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S 6TH ST, BUCKEYE, AZ 85326-2830
(623) 386-4487
Mailing address
15939 W MONROE ST, GOODYEAR, AZ 85338-6878
(623) 386-4487
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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