Provider Information for 1316298417
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Ms. JANE LOUISE LORENZ LCSW
Sex: Female
NPI: 1316298417
Last Updated: 2025-04-01
Certification Date: 2025-04-01
Certification Date: 2025-04-01
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1316298417 | ||||||||
| Enumeration Date | 2012-09-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 6253 HUACHUCA CITY, AZ 85616-1353 United States Phone: 520-559-2377 | Fax: | ||||||||
| Primary Practice Address | 2484 N CALLE NOVENO HUACHUCA CITY, AZ 85616-0536 United States Phone: 520-559-2377 | Fax: | ||||||||
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