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Individual

KATIE LUEBKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
10240 N 31ST AVE STE 200, PHOENIX, AZ 85051-9565
(602) 997-9006
Mailing address
10240 N 31ST AVE STE 200, PHOENIX, AZ 85051-9565

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
247844
AZ

Other

Enumeration date
09/21/2020
Last updated
09/21/2020
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