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Individual

MS. CYNTHIA M GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC, SLP

Contact information

Practice address
1900 W THOMAS RD, PHOENIX, AZ 85015-6051
(602) 764-8163
Mailing address
2432 E DARREL RD, PHOENIX, AZ 85042-5934
(602) 268-8999

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0937
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
526741
AZ
Enumeration date
05/24/2007
Last updated
07/08/2007
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