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1881767473
KELLY BLANCHE CARLSON
PHOENIX, AZ
NPI
1881767473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC 10451)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Ms. KELLY BLANCHE CARLSON M.C.
3603 N 7TH AVE
PHOENIX, AZ 85013-3638
Phone number: 602-234-1935
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Mailing Address
Ms. KELLY BLANCHE CARLSON M.C.
15821 E KIM DR
FOUNTAIN HILLS, AZ 85268-1827
Phone number: 480-734-7870
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