Individual
KAREN MANSFIELD-BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
15655 W ROOSEVELT ST, SUITE 243, GOODYEAR, AZ 85338-9282
(623) 242-7393
(480) 659-7230
Mailing address
15655 W ROOSEVELT ST, SUITE 243, GOODYEAR, AZ 85338-9282
(623) 242-7393
(480) 659-7230
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3950
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3950
STATE OF ARIZONA
AZ
Enumeration date
02/05/2015
Last updated
02/05/2015
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