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Provider Information for 1841482536


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Mrs. DIANA INIGUEZ-CORLEW LPC


Sex: Female

NPI: 1841482536
Last Updated: 2008-01-04
Certification Date:

Details

NameValue
NPI1841482536
Enumeration Date2007-08-16
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 4300 E PIMA ST
TUCSON, AZ 85712-3432
United States

Phone: 520-272-3888 | Fax:
 
Primary Practice Address 380 E FORT LOWELL RD
SUITE 201
TUCSON, AZ 85705-3985
United States

Phone: 520-272-3888 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalAZLPC-12364