Individual
MICHELE RENEE WEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2000
(602) 707-2040
Mailing address
26 ESTATES DR, MILLBRAE, CA 94030-1564
(516) 359-9164
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP10561
AZ
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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