Individual
ERICA ELWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
88 E LUPINE PL, SAN TAN VALLEY, AZ 85143-7553
(480) 329-2567
Mailing address
88 E LUPINE PL, SAN TAN VALLEY, AZ 85143-7553
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9670
AZ
2355S0801X
Speech-Language Assistant
SLPL6005
AZ
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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