Individual
REBECCA WORTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
398 HAMILTON AVE, FAIRBANKS, AK 99701-3537
(910) 583-4553
Mailing address
PO BOX 70155, FAIRBANKS, AK 99707-0155
(910) 583-4553
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
33
AK
2355S0801X
Speech-Language Assistant
SLPA7147
AZ
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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