Individual
JESSICA MARIE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3941 E BASELINE RD, GILBERT, AZ 85234-2750
(480) 787-5387
Mailing address
6513 S KENNETH PL UNIT B, TEMPE, AZ 85283-3835
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLP12372
AZ
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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