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1104044163
LARRY DELANO DRAUGHON
MESA, AZ
NPI
1104044163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ SW-01181)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
-- LARRY DELANO DRAUGHON LCSW
235 S EL DORADO CIR
MESA, AZ 85202-1044
Phone number: 480-834-5647
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Mailing Address
-- LARRY DELANO DRAUGHON LCSW
1709 E KAEL ST
MESA, AZ 85203-2161
Phone number: 480-968-2995
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