JASON WAYNE FORQUER

LUKE AFB, AZ
NPI1912072463
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  LCSW-19853)
Enumeration Date2006-11-21
Last Update Date2023-06-21
Business Address
JASON WAYNE FORQUER LCSW
7219 N LITCHFIELD RD
LUKE AFB, AZ 85309-1529
Phone number: 623-856-7579
Mailing Address
JASON WAYNE FORQUER LCSW
7219 N LITCHFIELD RD
LUKE AFB, AZ 85309-1529
Phone number: 623-856-7579
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