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Individual

MS. JANIS DONESKI-NICOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP, ATP

Contact information

Practice address
3545 S DYLAN ST, FLAGSTAFF, AZ 86001-9137
(928) 773-8467
(928) 523-4953
Mailing address
3545 S DYLAN ST, FLAGSTAFF, AZ 86001-9137
(928) 773-8467
(928) 523-4953

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1854
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
742181
AZ
Enumeration date
09/05/2008
Last updated
09/05/2008
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