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Individual

RENEE NICOLE SUDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.F.-SLP

Contact information

Practice address
8877 N 107TH AVE, SUITE 302 PMB 503, PEORIA, AZ 85345-7474
(623) 203-4109
(623) 547-6473
Mailing address
8877 N 107TH AVE, SUITE 302 PMB 503, PEORIA, AZ 85345-7474
(623) 203-4109
(623) 547-6473

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP6247
AZ

Other

Enumeration date
06/25/2009
Last updated
06/25/2009
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