Individual
MR. CARL GRASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31413 N 20TH AVE, PHOENIX, AZ 85085-7021
(623) 398-5840
Mailing address
31413 N 20TH AVE, PHOENIX, AZ 85085-7021
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3696312
AZ
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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