Individual
NICOLE R WAHLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4325 W MORTEN AVE, GLENDALE, AZ 85301-1665
(480) 415-6448
Mailing address
4325 W MORTEN AVE, GLENDALE, AZ 85301-1665
(480) 415-6448
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12989
AZ
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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