Individual
SUSAN KINKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6153 W OLIVE AVE, GLENDALE, AZ 85302-4564
(602) 685-6000
Mailing address
6153 W OLIVE AVE, GLENDALE, AZ 85302-4564
(602) 685-6000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-10232
AZ
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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