Individual
MARCELINE VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3802 E NOWATA DR, PHOENIX, AZ 85044-2509
(480) 242-5556
Mailing address
3802 E NOWATA DR, PHOENIX, AZ 85044-2509
(480) 242-5556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19360
CA
235Z00000X
Speech-Language Pathologist
SLP6767
AZ
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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