Individual
AMBER STIEG GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15626 N 40TH PL, PHOENIX, AZ 85032-4102
(970) 616-0655
Mailing address
15626 N 40TH PL, PHOENIX, AZ 85032-4102
(970) 616-0655
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
5512069
AZ
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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