Individual
FARAH MARDANZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2922 HEIRLOOM LN, GREENWOOD, IN 46143-6667
(812) 340-3504
Mailing address
2922 HEIRLOOM LN, GREENWOOD, IN 46143-6667
(812) 340-3504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003922A
IN
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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