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1457922429
JACOB TY PEHRSON
GLENDALE, AZ
NPI
1457922429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-20054)
Enumeration Date
2021-07-09
Last Update Date
2021-07-23
Business Address
JACOB TY PEHRSON LAC
17505 N 79TH AVE STE 410
GLENDALE, AZ 85308-8732
Phone number: 623-800-7980
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Mailing Address
JACOB TY PEHRSON LAC
17505 N 79TH AVE STE 410
GLENDALE, AZ 85308-8732
Phone number: 623-800-7980
Copy
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