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Individual

SALLY LASHWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
16635 N 43RD AVE, PHOENIX, AZ 85053-2707
(602) 843-7904
(602) 843-7954
Mailing address
11001 N BLACK CANYON HWY, PHOENIX, AZ 85029-4757
(602) 942-4462
(602) 371-2002

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
06/30/2010
Last updated
06/30/2010
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