Individual
LARESSA E MCCLOYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22447 N 99TH LN, PEORIA, AZ 85383-3575
(773) 766-8412
Mailing address
22447 N 99TH LN, PEORIA, AZ 85383-3575
(773) 766-8412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AZ
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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