Organization
SEQUOIA EDKEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN MCCONNELL (SLPA)
(480) 461-3206
Entity
Organization
Contact information
Practice address
1460 S HORNE, MESA, AZ 85204-5760
(480) 641-3206
Mailing address
1460 S HORNE, MESA, AZ 85204-5760
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7312
AZ
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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