Individual
LISA WOOTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3601 S 6TH AVE # 3A-118B, TUCSON, AZ 85723-4233
(520) 792-1450
Mailing address
3601 S 6TH AVE # 3A-118B, TUCSON, AZ 85723-0001
(520) 792-1450
(520) 629-4979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149014163
IL
1041C0700X
Clinical Social Worker
Primary
LCSW-17327
AZ
Other
Enumeration date
09/18/2007
Last updated
04/08/2019
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