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Individual

CONSTANCE M CORDAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
1016 W UNIVERSITY AVE, #209, FLAGSTAFF, AZ 86001-2994
(928) 774-0954
Mailing address
4000 E VILLAGE CIR, FLAGSTAFF, AZ 86004-7909
(928) 774-0954

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC-28974
CA
106H00000X
Marriage & Family Therapist
Primary
MFT-0359
AZ

Other

Enumeration date
09/18/2009
Last updated
02/20/2012
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