Individual
CONNIE SUE LANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1701 W SAINT MARYS RD, SUITE 160, TUCSON, AZ 85745-2621
(520) 262-0084
Mailing address
1020 MATE COURT, RIO RICO, AZ 85648-2416
(520) 262-0084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12432
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311221
AHCCCS
AZ
Enumeration date
02/25/2008
Last updated
08/08/2015
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