Individual
KATHRYN REIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4007 N MISTLETOE DR., PINE, AZ 85544
(928) 476-3612
Mailing address
PO BOX 1763, PINE, AZ 85544-1763
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
8448
AZ
385HR2055X
Child Mental Illness Respite Care
8448
AZ
Other
Enumeration date
01/02/2007
Last updated
04/07/2021
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