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Individual

LORA PIRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3101 N 17TH AVE, PHOENIX, AZ 85015-5803
(602) 803-3951
Mailing address
3101 N 17TH AVE, PHOENIX, AZ 85015-5803

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/30/2018
Last updated
01/30/2018
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