Individual
MISS LAUREN M IMPRAIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-18569
Contact information
Practice address
12714 E PAIGE CANYON LN, VAIL, AZ 85641-0109
(779) 770-7693
Mailing address
12714 E PAIGE CANYON LN, VAIL, AZ 85641-0109
(779) 770-7693
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-18569
AZ
Other
Enumeration date
11/03/2017
Last updated
04/11/2022
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