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Individual

MRS. SHERRY W BIRCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
111 E DUNLAP AVE, # 1-125, PHOENIX, AZ 85020-2807
(406) 581-3313
Mailing address
29991 N 122ND DR, PEORIA, AZ 85383-3457
(406) 581-3313

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP4640
AZ
235Z00000X
Speech-Language Pathologist
Primary
SP-1201
NV

Other

Enumeration date
06/06/2008
Last updated
10/21/2011
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