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1396385514
KAITLIN LARISSA ABRAVAYA
MESA, AZ
NPI
1396385514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC18255)
Enumeration Date
2020-01-15
Last Update Date
2021-05-20
Business Address
KAITLIN LARISSA ABRAVAYA LAC
3635 E INVERNESS AVE STE 109
MESA, AZ 85206-3848
Phone number: 480-645-1610
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Mailing Address
KAITLIN LARISSA ABRAVAYA LAC
11024 E DIAMOND AVE
MESA, AZ 85208-7647
Phone number: 480-645-1610
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