HOLLIS MAURICE LARSON

TEMPE, AZ
NPI1124283775
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  4891)
Enumeration Date2008-07-23
Last Update Date2018-02-23
Business Address
HOLLIS MAURICE LARSON CCC-SLP
1930 E SOUTHERN AVE
TEMPE, AZ 85282-7518
Phone number: 480-456-0719
Mailing Address
HOLLIS MAURICE LARSON CCC-SLP
647 E MANOR DR
CHANDLER, AZ 85225-8432
Phone number: 480-254-8724
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