Individual
CLARISA ISABEL CEPEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6615 N 89TH AVE, GLENDALE, AZ 85305-2028
(602) 446-4687
Mailing address
6615 N 89TH AVE, GLENDALE, AZ 85305-2028
(602) 446-4687
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPA12488
AZ
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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