Individual
LARISSA WOOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9832 N HAYDEN RD, STE 207, SCOTTSDALE, AZ 85258-1235
(480) 556-6797
(480) 556-6670
Mailing address
9832 N HAYDEN RD, STE 207, SCOTTSDALE, AZ 85258-1235
(480) 556-6797
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
4059688
AZ
111N00000X
Chiropractor
Primary
5973
AZ
Other
Enumeration date
10/25/2010
Last updated
08/25/2016
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