Individual
KRISTIN LEE CARBONE-KEBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 MATE LN, LAKE HAVASU CITY, AZ 86406-6201
(928) 916-3134
Mailing address
480 MATE LN, LAKE HAVASU CITY, AZ 86406-6201
(928) 916-3134
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3143005
AZ
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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