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Individual

DR. LINNEA SUZANNE LEI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D.

Contact information

Practice address
416 N KENDRICK ST, SUITE 4, FLAGSTAFF, AZ 86001-1598
(928) 774-9123
Mailing address
809 W RIORDAN RD, SUITE 100, #326, FLAGSTAFF, AZ 86001-0807

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3020
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0606240
PSYCHOLOGIST
AZ
Enumeration date
06/04/2006
Last updated
03/06/2008
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