Individual
MRS. ANNETTE MARIE GUIDRY-DUNBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
1722 W PINE CONE WAY, PRESCOTT, AZ 86303-7105
(928) 710-6475
Mailing address
1722 W PINE CONE WAY, PRESCOTT, AZ 86303-7105
(928) 710-6475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2141
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
748931
STATE AHCCCS
AZ
Enumeration date
02/22/2007
Last updated
07/08/2007
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