Individual
MRS. JESSICA MICHELLE WAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
8520 N 19TH AVE, PHOENIX, AZ 85021-4201
(602) 347-3910
Mailing address
4650 W SWEETWATER AVE, GLENDALE, AZ 85304-1505
(602) 347-3910
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8290
AZ
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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