Individual
LARISSA NADYA RZEMIENSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C., L.P.C.
Contact information
Practice address
1444 E SOUTH FORK DR, PHOENIX, AZ 85048-6252
(602) 361-0225
Mailing address
1444 E. SOUTH FORK DRIVE, PHOENIX, AZ 85048
(602) 361-0225
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC - 11014
AZ
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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