Individual
MRS. KELLY MAUREEN BLUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3333 W ROOSEVELT ST, PHOENIX, AZ 85009-3403
(602) 764-3000
(602) 452-5825
Mailing address
4502 N CENTRAL AVE, PHOENIX, AZ 85012-1817
(602) 764-1100
(602) 407-1159
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3842151
AZ
Other
Enumeration date
08/16/2007
Last updated
11/05/2009
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