Individual
KEVIN DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
16515 S 40TH ST STE 119, PHOENIX, AZ 85048-0559
(480) 371-6845
Mailing address
16515 S 40TH ST STE 119, PHOENIX, AZ 85048-0559
(480) 272-8450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMSW-21008
AZ
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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