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Individual

JENNIFER DYAN CASEY

Active
Sole proprietor
Yes

Provider details

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

Contact information

Practice address
20872 E VIA DEL PALO, QUEEN CREEK, AZ 85242-6943
(480) 993-9279
Mailing address
20872 E VIA DEL PALO, QUEEN CREEK, AZ 85242-6943

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4017
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12070825
ASHA MEMBER NUMBER
AZ
Enumeration date
03/29/2007
Last updated
07/08/2007
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