Individual
ALICE FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
2830 E BROWN RD STE 1, MESA, AZ 85213-5431
(602) 910-1409
Mailing address
1960 W KEATING AVE APT 589, MESA, AZ 85202-7077
(480) 800-7342
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
AZ
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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