Individual
MISS DEMAURICE JIANA BASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1525 W FRYE RD, CHANDLER, AZ 85224-6178
(480) 812-7000
Mailing address
1433 E SONRISAS ST, PHOENIX, AZ 85040-2380
(602) 384-4462
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP12300
AZ
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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