Individual
SHARON BACKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 048-7581
Mailing address
6211 W SHAW BUTTE DR, GLENDALE, AZ 85304-2528
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6327
AZ
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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