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1356634067
ILENE BAKER
TUCSON, AZ
NPI
1356634067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-10560)
Enumeration Date
2011-05-27
Last Update Date
2011-05-27
Business Address
Ms. ILENE BAKER LISAC
1650 E FORT LOWELL RD SUITE 202
TUCSON, AZ 85719-2374
Phone number: 520-327-4505
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Mailing Address
Ms. ILENE BAKER LISAC
1650 E FORT LOWELL RD SUITE 202
TUCSON, AZ 85719-2374
Phone number: 520-327-4505
Copy
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