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Individual

KAYLA HORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
3303 E BASELINE RD STE 109, GILBERT, AZ 85234-2739
(480) 993-4688
Mailing address
2252 N 44TH ST APT 1014, PHOENIX, AZ 85008-7201
(480) 993-4688

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-17518
AZ

Other

Enumeration date
04/25/2019
Last updated
04/25/2019
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