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Individual

MRS. MARIAN C. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SPEECH PATHOLOGIST,

Contact information

Practice address
165 S. BROWN, EAGAR, AZ 85925
(928) 333-6680
Mailing address
HC 30 BOX 771, CONCHO, AZ 85924-9628
(923) 337-3384

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
AZ

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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