Individual
TANIA E DESONNAVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11951 W OVERLIN LN, AVONDALE, AZ 85323-7723
(602) 384-8818
Mailing address
11860 W SHERMAN ST, AVONDALE, AZ 85323-9124
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA8618
AZ
235Z00000X
Speech-Language Pathologist
Primary
SP35258
CA
Other
Enumeration date
11/26/2013
Last updated
03/12/2024
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