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Individual

APRIL L ELY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
222 N VERDE ST, FLAGSTAFF, AZ 86001-4636
(928) 779-5118
Mailing address
222 N VERDE ST, FLAGSTAFF, AZ 86001-4636
(928) 779-5118

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 11968
AZ

Other

Enumeration date
01/20/2012
Last updated
01/20/2012
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