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Individual

MARCI A SCHUTRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ED.S.

Contact information

Practice address
8700 S KYRENE RD, TEMPE, AZ 85284-2108
(480) 783-2985
Mailing address
801 E HIDDENVIEW DR, PHOENIX, AZ 85048-1924
(480) 629-8934

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3741764
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124346
AZ
Enumeration date
12/18/2006
Last updated
08/29/2007
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