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1700279288
SUSANA VILLA
TUCSON, AZ
NPI
1700279288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-14201)
Enumeration Date
2015-03-09
Last Update Date
2015-06-24
Business Address
-- SUSANA VILLA MC, LPC
8050 E LAKESIDE PKWY
TUCSON, AZ 85730-1254
Phone number: 520-584-5820
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Mailing Address
-- SUSANA VILLA MC, LPC
82 S STONE AVE
TUCSON, AZ 85701-1713
Phone number: 520-792-3293
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