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Individual

LARRY SHAWN TOWNSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
2040 GOLDEN GATE AVE, KINGMAN, AZ 86401-4627
(928) 530-2472
(928) 753-5735
Mailing address
3750 MARTINGALE DR, KINGMAN, AZ 86409-2994
(928) 530-2472
(928) 753-5735

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-0442
AZ

Other

Enumeration date
10/09/2007
Last updated
12/14/2008
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