Individual
MS. ESPERANZA H. VAN DEN BOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
18602 E OLD BEAU TRL, QUEEN CREEK, AZ 85142-3518
(586) 873-2359
Mailing address
18602 E OLD BEAU TRL, QUEEN CREEK, AZ 85142-3518
(586) 873-2359
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL 6680
AZ
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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