Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 3888807 | AZ |
NPI | 1134374952 |
---|---|
Provider Name | Mrs. Julie Anne Lynch |
First Address | Avondale, AZ 85323-8900 |
Second Address | Avondale, AZ 85323-8900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2008 |
Last Update Date | 20/11/2008 |