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Individual

ALETHEA LYNN VANDENAKKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
5358 E BASELINE RD, MESA, AZ 85206-4716
(480) 699-9624
Mailing address
1303 W JUNIPER AVE, 3022, GILBERT, AZ 85233-4134
(520) 401-0352

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7132
AZ

Other

Enumeration date
02/12/2014
Last updated
04/17/2014
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