Individual
CAROLINE BOURLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
352 E CAMELBACK RD, SUITE 102, PHOENIX, AZ 85012-1646
(602) 277-5006
Mailing address
1616 N ALTA MESA DR, NO. 3, MESA, AZ 85205-3514
(480) 455-7452
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7573
AZ
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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