Individual
LEE VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21630 N 19TH AVE STE B3, PHOENIX, AZ 85027-2717
(602) 875-5616
Mailing address
1499 N 159TH AVE APT 2146, GOODYEAR, AZ 85395-7201
(651) 315-9649
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA13033
AZ
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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