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1861130940
TERRY MICHAEL THORSTAD
TEMPE, AZ
NPI
1861130940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC-16263)
Enumeration Date
2022-05-26
Last Update Date
2022-05-26
Business Address
TERRY MICHAEL THORSTAD LPC
6515 S RURAL RD STE 101
TEMPE, AZ 85283-3880
Phone number: 480-656-0500
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Mailing Address
TERRY MICHAEL THORSTAD LPC
6515 S RURAL RD STE 101
TEMPE, AZ 85283-3880
Phone number: 480-656-0500
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