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MRS. MARIAN C. SMITH SPEECH PATHOLOGIST,

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1407916489

Individual Registrant:
MRS. MARIAN C. SMITH SPEECH PATHOLOGIST,
Gender: F
Not Sole Proprietor

Location and contact information for practice:
165 S. BROWN  EAGAR, AZ 85925 US
Tel: 928-333-6680  Fax: --

Contact information for business:
HC 30 BOX 771  CONCHO, AZ 85924-9628 US
Tel: 923-337-3384  Fax: --

Registration Information:
NPI: 1407916489
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AZ

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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