Individual
LONI KAY WOODALL-SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
250 W 15TH ST, SAFFORD, AZ 85546-2529
(928) 348-8825
Mailing address
PO BOX 165, PIMA, AZ 85543-0165
(480) 247-0192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 4807
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124193
—
AZ
Enumeration date
03/22/2007
Last updated
11/05/2009
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