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Individual

CAROLINE R MUSSELWHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
2850 N 24TH ST, PHOENIX, AZ 85008-1004
(602) 266-5976
Mailing address
916 CASTILLO DR W, LITCHFIELD PARK, AZ 85340-4312
(623) 935-4656

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5891
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
375216
AZ
Enumeration date
10/06/2008
Last updated
03/25/2025
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