Individual
LAURA HAARSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 E LA PASADA BLVD, GOODYEAR, AZ 85338-1368
(623) 772-4310
Mailing address
540 E LA PASADA BLVD, GOODYEAR, AZ 85338-1368
(623) 772-4310
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
502787535
AZ
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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