Individual
TAMARA MCILWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 S MCCLINTOCK DR STE 212, TEMPE, AZ 85282-7382
(602) 825-6466
Mailing address
4515 S MCCLINTOCK DR STE 212, TEMPE, AZ 85282-7382
(602) 825-6466
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AZ
Other
Enumeration date
10/24/2022
Last updated
03/20/2024
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