CHASE WILLIAM LARSEN

GILBERT, AZ
NPI1609111673
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  TSLP7981)
Enumeration Date2012-12-03
Last Update Date2018-04-05
Business Address
Mr. CHASE WILLIAM LARSEN M.S. CCC-SLP
2451 E BASELINE RD STE 420
GILBERT, AZ 85234-2472
Phone number: 480-474-4173
Mailing Address
Mr. CHASE WILLIAM LARSEN M.S. CCC-SLP
PO BOX 11476
CHANDLER, AZ 85248-0008
Phone number: 480-201-5787
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