Individual
MICHELLE KYLIAVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3173 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2240
(928) 493-8222
Mailing address
11286 E WESTERN SUNSET DR, DEWEY, AZ 86327-5634
(480) 772-8083
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19461
AZ
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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