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Individual

TERESA CHACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13385 W MCDOWELL RD, GOODYEAR, AZ 85395-2631
(623) 698-5747
Mailing address
14457 W EDGEMONT AVE, GOODYEAR, AZ 85395-2014
(623) 698-5747

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4009
AZ

Other

Enumeration date
10/29/2018
Last updated
10/29/2018
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