Individual
MRS. TAMARA DIANE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 S BECK AVE, TEMPE, AZ 85281-5399
(480) 966-7114
(480) 829-6178
Mailing address
1025 S BECK AVE, TEMPE, AZ 85281-5399
(480) 966-7114
(480) 829-6178
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
569965
—
AZ
Enumeration date
11/02/2006
Last updated
07/25/2007
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