LARISSA VAN WIE

SURPRISE, AZ
NPI1487242210
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: AZ  RBT-21-150641)
Enumeration Date2021-01-07
Last Update Date2024-07-03
Business Address
MRS. LARISSA VAN WIE RBT
15116 N COTTON LN
SURPRISE, AZ 85388-9618
Phone number: 623-322-8250
Mailing Address
MRS. LARISSA VAN WIE RBT
15116 N COTTON LN
SURPRISE, AZ 85388-9618
Phone number: 623-322-8250
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