Individual
CHARLENE ANNE CONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1259 E PINE RIDGE DR, PRESCOTT, AZ 86303-5942
(928) 771-8845
Mailing address
1259 E PINE RIDGE DR, PRESCOTT, AZ 86303-5942
(928) 771-8845
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 0245
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
593758
—
AZ
Enumeration date
04/19/2007
Last updated
07/09/2007
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