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Individual

MRS. KATHY L LORTIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 225-6610
Mailing address
1001 W CAMINO DESIERTO, TUCSON, AZ 85704-4506
(520) 742-5029

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-10988
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
837297
AZ
Enumeration date
02/16/2007
Last updated
07/08/2007
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