Individual
JAMIE LYNN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-7724
Mailing address
1400 S DOBSON RD, MESA, AZ 85202-4707
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP10183
AZ
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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