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1003933698
MARY KOEHL
PHOENIX, AZ
NPI
1003933698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LCSW-11595)
Enumeration Date
2007-03-26
Last Update Date
2014-03-27
Business Address
-- MARY KOEHL LCSW
1715 W DESPERADO WAY
PHOENIX, AZ 85085-6329
Phone number: 602-292-2872
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Mailing Address
-- MARY KOEHL LCSW
1715 W DESPERADO WAY
PHOENIX, AZ 85085-6329
Phone number: 602-292-2872
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