MEDICARE: ANNA-LISE KUNZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW-20258	AZ
2	1041C0700X	Clinical Social Worker	LCSW135609	CA

General Provider Information

NPI Number	:	1447961628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA-LISE KUNZ

Provider Business Mailing Address
First Line	:	7966 N ORACLE RD # 132
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-6317
Country	:	US
Telephone Number	:	760-422-7934
Fax Number	:

Provider Business Practice Location Address
First Line	:	7966 N ORACLE RD # 132
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-6317
Country	:	US
Telephone Number	:	760-422-7934
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2022
Last Update Date	:	06/11/2026

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Directions to “ ANNA-LISE KUNZ ” Practice Location

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