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Individual

VICTORIA L CONNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1901 N WILMOT RD APT 1295, TUCSON, AZ 85712-3079
(520) 901-0184
Mailing address
1161 N EL DORADO PL STE 103, TUCSON, AZ 85715-4607
(520) 748-7108

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
385HR2055X
Child Mental Illness Respite Care
2819338
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
851692
AZ
Enumeration date
08/23/2013
Last updated
08/12/2021
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