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1154594588
TAMARA L LUCKETT
PHOENIX, AZ
NPI
1154594588
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Former Name
TAMARA L LUCKETT-CALLAHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-11100)
Enumeration Date
2008-04-07
Last Update Date
2008-04-07
Business Address
Mrs. TAMARA L LUCKETT LCSW
1415 N 1ST ST
PHOENIX, AZ 85004-1604
Phone number: 602-302-7815
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Mailing Address
Mrs. TAMARA L LUCKETT LCSW
3003 N CENTRAL AVE SUITE 200
PHOENIX, AZ 85012-2902
Phone number: 602-685-6000
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