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Individual

MRS. KATHRYN RAWLS JORGENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1200 W. SPEEDWAY, TUCSON, AZ 85754
(520) 770-3665
Mailing address
6460 N CAMINO ABBEY, TUCSON, AZ 85718-2004
(520) 742-5182

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC10908
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
823519
AHCCS PIN#
AZ
Enumeration date
03/06/2007
Last updated
07/08/2007
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