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Individual

MRS. RENEE L GEARHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED. N.C.C.

Contact information

Practice address
1453 N. MAIN STREET, SUITE F, SAN LUIS, AZ 85349
(928) 627-6567
Mailing address
13528 S BRENTWOOD WAY, YUMA, AZ 85367-9246
(928) 446-9903

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
838162
AHCCCS
AZ
Enumeration date
03/29/2007
Last updated
07/26/2007
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