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Individual

JACQUELINE RELYEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6550 S 27TH AVE, PHOENIX, AZ 85041-5287
(602) 304-3180
Mailing address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 243-4866

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Enumeration date
09/27/2010
Last updated
09/27/2010
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