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Speech-Language Assistant >> Specialist/Technologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1619346905

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
Tel: 928-580-5342  Fax: --

Contact information for business:
Tel: 928-580-5342  Fax: --

Registration Information:
NPI: 1619346905
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2355S0801XSpeech, Language and Hearing Service Providers
Speech-Language Assistant

Legacy codes, insurance codes and state license numbers:



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