Individual
CASSAUNDRA LOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1120 N 5TH AVE, TUCSON, AZ 85705-7408
(520) 471-5607
(520) 514-2215
Mailing address
1120 N 5TH AVE, TUCSON, AZ 85705-7408
(520) 471-5607
(520) 514-2215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18631
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2015
Last updated
05/22/2020
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