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Individual

MARY ANN LARRACAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2301 W GLENDALE AVE STE 2, PHOENIX, AZ 85021-7694
(201) 982-8460
Mailing address
2301 W GLENDALE AVE STE 2, PHOENIX, AZ 85021-7694
(201) 982-8460

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
02/05/2024
Last updated
02/05/2024
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