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1962805788
THOMAS ARTHUR LARSON
PHOENIX, AZ
NPI
1962805788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-10047)
Enumeration Date
2014-10-07
Last Update Date
2014-10-07
Business Address
-- THOMAS ARTHUR LARSON LISAC
1802 E THOMAS RD
PHOENIX, AZ 85016-8134
Phone number: 602-685-6000
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Mailing Address
-- THOMAS ARTHUR LARSON LISAC
3003 N CENTRAL AVE STE 200
PHOENIX, AZ 85012-2914
Phone number: 602-685-6000
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