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1710057104
TARA LEIGH KROG
PHOENIX, AZ
NPI
1710057104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: AZ 4025)
Enumeration Date
2006-11-09
Last Update Date
2011-10-07
Business Address
MS. TARA LEIGH KROG PHD
2916 E PIERCE
PHOENIX, AZ 85004
Phone number: 602-344-5982
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Mailing Address
MS. TARA LEIGH KROG PHD
2601 E. ROOSEVELT
PHOENIX, AZ 85004
Phone number: 602-344-5982
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