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Individual

JEAN MARIE CUMMINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8505 E VALLEY VIEW RD, SCOTTSDALE, AZ 85250-6768
(480) 484-1800
(480) 484-1801
Mailing address
928 W IMPALA CIR, MESA, AZ 85210-5919
(480) 838-5845

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
#SLP0336
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
625676
AZ
Enumeration date
01/30/2007
Last updated
07/09/2007
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