Individual
MISS VICTORIA L LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2400 W DUNLAP AVE STE 300, PHOENIX, AZ 85021-2822
(602) 943-2999
Mailing address
6804 E 2ND ST APT 28, SCOTTSDALE, AZ 85251-5349
(503) 888-2066
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/13/2010
Last updated
08/06/2012
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