Individual
MICHELLE MANDRACCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3233 S PINAL VIS, TUCSON, AZ 85713-6554
(520) 225-3545
Mailing address
11121 E MICHELLE LN, TUCSON, AZ 85748-3602
(847) 502-0046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7280
AZ
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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