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1104056613
KATHLEEN ANN CHAN
LAVEEN, AZ
NPI
1104056613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-3864)
Enumeration Date
2009-07-17
Last Update Date
2009-07-17
Business Address
Mrs. KATHLEEN ANN CHAN LCSW
4577 W PECOS RD
LAVEEN, AZ 85339
Phone number: 520-550-6041
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Mailing Address
Mrs. KATHLEEN ANN CHAN LCSW
4577 W PECOS RD
LAVEEN, AZ 85339
Phone number: 520-550-6041
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