Individual
MICHELLE ANNE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA LICENSE
Contact information
Practice address
3391 E VEST AVE, GILBERT, AZ 85295-8482
(480) 279-6800
Mailing address
3775 E POWELL WAY, GILBERT, AZ 85298-4815
(520) 887-3301
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14448
AZ
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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