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Organization
AGAPE HARBOR SPEECH THERAPY AND REHABILITATION, PLLC
Active
Organization
AGAPE HARBOR SPEECH THERAPY AND REHABILITATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MISTY ANN MASON (SPEECH-LANGUAGE PATHOLOGIST)
(602) 999-6358
Entity
Organization
Contact information
Practice address
16195 W COTTONWOOD ST, SURPRISE, AZ 85374-5740
(602) 999-6358
(623) 234-2802
Mailing address
16195 W COTTONWOOD ST, SURPRISE, AZ 85374-5740
(602) 999-6358
(623) 234-2802
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
SLP-4062
AZ
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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