Organization
CHAMPION SPEECH & LANGUAGE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FURRY (BUSINESS MANAGER)
(520) 458-1551
Entity
Organization
Contact information
Practice address
200 E WILCOX DR, SIERRA VISTA, AZ 85635-2526
(520) 458-1551
(520) 458-1896
Mailing address
200 E WILCOX DR, SIERRA VISTA, AZ 85635-2526
(520) 458-1551
(520) 458-1896
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP9336
AZ
Other
Enumeration date
06/09/2018
Last updated
07/02/2021
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