Individual
MS. KATIE SARAH SPROULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15034 N PARKVIEW PL, SURPRISE, AZ 85379-6076
(623) 876-7812
Mailing address
2122 S 114TH LN, AVONDALE, AZ 85323-9184
(623) 478-1863
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710815
AHCCCS
AZ
Enumeration date
01/24/2007
Last updated
07/08/2007
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