Organization
DBA ANGELA FOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FOX (OWNER)
(480) 773-1282
Entity
Organization
Contact information
Practice address
2834 S EXTENSION RD, UNIT 1087, MESA, AZ 85210-8285
(480) 773-1282
Mailing address
2834 S EXTENSION RD, UNIT 1087, MESA, AZ 85210-8285
(480) 773-1282
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4499
AZ
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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