LARRY J BRANDON

TEMPE, AZ
NPI1023723475
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: AZ  CSLG12168)
Enumeration Date2023-01-19
Last Update Date2023-01-19
Business Address
LARRY J BRANDON
1575 W UNIVERSITY DR STE 111
TEMPE, AZ 85281-3283
Phone number: 480-687-9009
Mailing Address
LARRY J BRANDON
1575 W UNIVERSITY DR STE 111
TEMPE, AZ 85281-3283
Phone number: 480-687-9009
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