Individual
MRS. SUSAN LEE FORNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5956 E PIMA ST, SUITE 130, TUCSON, AZ 85712-4375
(520) 298-3522
Mailing address
4801 N VISTA DE LOMA SEGUNDA, TUCSON, AZ 85749-8586
(520) 419-3522
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC1233
AZ
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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