Individual
SOPHIA HEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1453 N MAIN ST. SUITE F, SAN LUIS, AZ 85349
(928) 627-6567
(928) 722-7025
Mailing address
PO BOX 8103, SAN LUIS, AZ 85349-6822
(928) 627-6567
(928) 722-7025
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171266
AHCCCS
AZ
Enumeration date
03/22/2007
Last updated
07/26/2007
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