Individual
MARY ELIZABETH CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7216 E PORTOBELLO AVE, MESA, AZ 85212-9789
(623) 326-4876
Mailing address
7216 E PORTOBELLO AVE, MESA, AZ 85212-9789
(623) 326-4876
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-21037
AZ
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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