Individual
MARGARET K JETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1350 S 11TH ST, PHOENIX, AZ 85034-4537
(602) 452-6943
Mailing address
1350 S 11TH ST, PHOENIX, AZ 85034-4537
(480) 286-8720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6968
AZ
Other
Enumeration date
09/01/2010
Last updated
10/04/2011
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