Individual
MS. THERESE JANINE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4650 W. SWEETWATER AVENUE, GLENDALE, AZ 85304-1505
(602) 347-2600
Mailing address
8038 W PARADISE DR, PEORIA, AZ 85345-5795
(623) 412-2174
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
SLP 1281
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
455320
—
AZ
Enumeration date
05/04/2007
Last updated
07/08/2007
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