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Individual

CAROLINE NICESCHWANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
21045 N 9TH PL STE 204, PHOENIX, AZ 85024-5635
(623) 282-5747
Mailing address
1755 N PEBBLE CREEK PKWY # 1093, GOODYEAR, AZ 85395-2532

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP13122
AZ
235Z00000X
Speech-Language Pathologist
TSLP13122
AZ

Other

Enumeration date
01/26/2022
Last updated
01/10/2023
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