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Individual

DEBORAH SIRY ARDOLINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC LMFT

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-12889
AZ
106H00000X
Marriage & Family Therapist
MFC 41978
CA

Other

Enumeration date
10/05/2012
Last updated
10/05/2012
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