Individual
MRS. KATHLNE MAY BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
943 S GILBERT RD STE 204, MESA, AZ 85204-4441
(480) 507-8619
(480) 507-8618
Mailing address
2400 N CENTRAL AVE STE 400, PHOENIX, AZ 85004-1315
(480) 507-8619
(480) 507-8618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10955
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
#101YM0800X
—
AZ
Enumeration date
03/18/2010
Last updated
03/18/2010
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