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Individual

MS. SUSAN ELIZABETH LOCKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
1846 E INNOVATION PARK DR STE 100, ORO VALLEY, AZ 85755-1963
(480) 535-1434
Mailing address
1846 E INNOVATION PARK DR STE 100, ORO VALLEY, AZ 85755-1963
(480) 535-1434

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-22647
AZ

Other

Enumeration date
04/09/2024
Last updated
04/09/2024
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