Provider Information for 1194235259
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ESTHER R KPARYEA LCSW
Sex: Female
NPI: 1194235259
Last Updated: 2022-09-21
Certification Date: 2022-09-21
Certification Date: 2022-09-21
Details
Name | Value | ||||||||
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NPI | 1194235259 | ||||||||
Enumeration Date | 2017-10-03 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 8 E COTTONWOOD ST COTTONWOOD, AZ 86326-4382 United States Phone: 877-634-7333 | Fax:866-984-3891 | ||||||||
Primary Practice Address | 990 WILLOW CREEK RD PRESCOTT, AZ 86301-1640 United States Phone: 877-634-7333 | Fax:866-984-3891 | ||||||||
Secondary Practice Address(es) | 3347 N WINDSONG DR | ||||||||
Health Information Exchange |
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