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1144959032
THOMAS D WARREN
SCOTTSDALE, AZ
NPI
1144959032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TA0400X Psychologist, Addiction (Substance Use Disorder)
(Licence: AZ LASAC-15442)
Enumeration Date
2022-06-07
Last Update Date
2022-06-07
Business Address
THOMAS D WARREN LASAC
7025 E OAK ST
SCOTTSDALE, AZ 85257-2059
Phone number: 432-352-5897
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Mailing Address
THOMAS D WARREN LASAC
PO BOX 265
SCOTTSDALE, AZ 85252-0265
Phone number: 432-352-5897
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