KATHLEEN W CORMIER

PRESCOTT, AZ
NPI1699757716
Former NameKATHLEEN K WOOD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: AZ  LISAC1004)
Enumeration Date2005-11-15
Last Update Date2007-07-08
Business Address
-- KATHLEEN W CORMIER LISAC
625 W HILLSIDE AVE RUTH CLINIC
PRESCOTT, AZ 86301-1936
Phone number: 928-445-5211
Mailing Address
-- KATHLEEN W CORMIER LISAC
642 DAMERON DR
PRESCOTT, AZ 86301-2411
Phone number: 928-445-5211
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