Individual
TINA RAE JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
39580 S LAGO DEL ORO PKWY, TUCSON, AZ 85739-1091
(844) 335-1495
Mailing address
7425 N MONA LISA RD APT 131, TUCSON, AZ 85741-4506
(505) 289-6540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29757
CA
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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