Individual
GLORIA ANNE LUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10225 E DESERT EDEN PL, TUCSON, AZ 85747-5031
(520) 574-9454
(520) 296-8244
Mailing address
10225 E DESERT EDEN PL, TUCSON, AZ 85747-5031
(520) 574-9454
(520) 296-8244
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
2673854
AZ
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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