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Individual

LINDA LORENE CLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., M.S.

Contact information

Practice address
3201 N 46TH DR, PHOENIX, AZ 85031-3707
(623) 691-4418
(623) 691-4420
Mailing address
4301 N 21ST ST, UNIT 47, PHOENIX, AZ 85016-5552
(623) 691-4418
(623) 691-4420

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
26052
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
875205
AZ
Enumeration date
03/29/2007
Last updated
07/09/2007
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