Individual
KATHLEEN M HORLACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2258 E JENSEN ST, MESA, AZ 85213-3448
(480) 980-3613
Mailing address
2258 E JENSEN ST, MESA, AZ 85213-3448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 2255
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
646416
—
AZ
Enumeration date
12/13/2006
Last updated
01/20/2016
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