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Organization

SEEDS FOR AUTISM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY ANN LAROCHE (EXECUTIVE DIRECTOR)
(602) 989-1242
Entity
Organization

Contact information

Practice address
711 N 15TH AVE, PHOENIX, AZ 85007-2251
(602) 279-6702
Mailing address
1775 E OCOTILLO RD, PHOENIX, AZ 85016-1039
(602) 279-6702

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
04/24/2012
Last updated
04/24/2012
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