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Individual

JAMES T. COTHRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S. ED.

Contact information

Practice address
4407 N 55TH AVE, PHOENIX, AZ 85031-1802
(623) 691-4300
(623) 691-4320
Mailing address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4085
(623) 691-5924

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
554908
AZ
Enumeration date
09/12/2008
Last updated
09/12/2008
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