Individual
KRISTEN LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
5319 S MITCHELL DR, TEMPE, AZ 85283-1739
(928) 607-1883
Mailing address
5319 S MITCHELL DR, TEMPE, AZ 85283-1739
(928) 607-1883
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3445170
AZ
Other
Enumeration date
09/29/2009
Last updated
10/06/2009
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