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Individual

STEPHANIE SPEAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, NCC, LAC

Contact information

Practice address
1014C N COUNTRY CLUB RD, TUCSON, AZ 85716-4239
(520) 730-8176
Mailing address
3249 N LITTLE CREEK PL, TUCSON, AZ 85712-1142
(520) 730-8176

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-17610
AZ

Other

Enumeration date
07/18/2022
Last updated
07/18/2022
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