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Organization

EXECUTIVE VOICE ENTERPRISES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARRELL L. JENSEN MS, CCC-SP (SPEECH PATHOLOGIST)
(480) 777-2212
Entity
Organization

Contact information

Practice address
1930 S ALMA SCHOOL RD, SUITE # C-107, MESA, AZ 85210-3064
(480) 777-2212
(480) 777-9092
Mailing address
1930 S ALMA SCHOOL RD, SUITE # C-107, MESA, AZ 85210-3064
(480) 777-2212
(480) 777-9092

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0079
AZ

Other

Enumeration date
05/21/2007
Last updated
08/22/2020
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