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Individual

LUCIANA DA FONSECA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4500 N 32ND ST STE 119, PHOENIX, AZ 85018-3350
(602) 888-7025
Mailing address
4500 N 32ND ST STE 119, PHOENIX, AZ 85018-3350
(602) 888-7025

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC17066
AZ

Other

Enumeration date
01/17/2022
Last updated
01/17/2022
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