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Individual

TERRI LYNN VASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
350 N WILMOT RD, TUCSON, AZ 85711-2602
(520) 873-3000
Mailing address
1817 E 10TH ST, TUCSON, AZ 85709-0001
(520) 904-1585
(520) 903-9113

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10749
AZ
104100000X
Social Worker
Primary
LCSW-11013
AZ
1041C0700X
Clinical Social Worker
LCSW-11013
AZ
1041S0200X
School Social Worker
LCSW-11013
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
861080
AZ
Enumeration date
01/24/2007
Last updated
09/11/2025
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