Individual
LAURA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 N COUNTRY CLUB DR, MESA, AZ 85201-6522
(480) 308-7320
Mailing address
195 POPLAR PL, 1720 N RANDALL RD, NORTH AURORA, IL 60542-1404
(630) 907-2400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071-003977
IL
103TC0700X
Clinical Psychologist
Primary
4230
AZ
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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