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Individual

JUDI DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
450 S MONTEGO DR, TUCSON, AZ 85710-3796
(520) 731-3950
Mailing address
9310 E SARA ELYSE LN, TUCSON, AZ 85710-3206
(520) 290-1992

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL2164
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
752396
AHCCCS PROVIDER #
AZ
Enumeration date
02/13/2007
Last updated
07/08/2007
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