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Individual

DR. DEBORAH JEAN PARDEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
703 S MAIN ST, SUITE 8, COTTONWOOD, AZ 86326-4615
(928) 227-7482
Mailing address
PO BOX 11597, PRESCOTT, AZ 86304-1597
(928) 227-7482

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
0003715
CO
103TC1900X
Counseling Psychologist
Primary
4264
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LP 4264
STATE OF ARIZONA
AZ
Enumeration date
05/22/2007
Last updated
05/26/2016
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