Individual
BARBARA SUE IKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8877 N HERSEY WAY, TUCSON, AZ 85742-8870
(520) 241-0389
Mailing address
8877 N HERSEY WAY, TUCSON, AZ 85742-8870
(520) 241-0389
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
3110359
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3110359
AZ OLCR FOSTER CARE LICENSE
AZ
Enumeration date
11/22/2011
Last updated
11/22/2011
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