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MR. KIM ERIC COUDERC M.S.W.,L.C.S.W.

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1346374725

Individual Registrant:
MR. KIM ERIC COUDERC M.S.W.,L.C.S.W.
Gender: M
Sole Proprietor

Location and contact information for practice:
10127 N TALL COTTON DR  MARANA, AZ 85653-7918 US
Tel: 847-668-2524  Fax: 847-668-2524

Contact information for business:
10127 N TALL COTTON DR  MARANA, AZ 85653-7918 US
Tel: 847-668-2524  Fax: 847-668-2524

Registration Information:
NPI: 1346374725
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AZLCSW1988

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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