Individual
MS. SABRENIA RENEE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
573 W 37TH PL, YUMA, AZ 85365-4527
(678) 725-4628
Mailing address
PO BOX 794, ROSWELL, GA 30077-0794
(678) 725-4628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
GA04287
GA
235Z00000X
Speech-Language Pathologist
SLP10325
AZ
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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