KENNETH WILLIAM FAUSETT

LAKE HAVASU CITY, AZ
NPI1851917413
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: AZ  LMFT-15484)
Enumeration Date2020-06-19
Last Update Date2020-09-17
Business Address
KENNETH WILLIAM FAUSETT LMFT
276 LAKE HAVASU AVE S APT C32
LAKE HAVASU CITY, AZ 86403-6521
Phone number: 928-813-8977
Mailing Address
KENNETH WILLIAM FAUSETT LMFT
276 LAKE HAVASU AVE S APT C32
LAKE HAVASU CITY, AZ 86403-6521
Phone number: 928-813-8977
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