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Individual

MS. LISA ANN HARPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6910 N SANDERS RD, TUCSON, AZ 85743-8174
(520) 870-6636
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
AZ
385HR2055X
Child Mental Illness Respite Care
8977603
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
584341
AZ
Enumeration date
08/08/2019
Last updated
06/02/2021
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