Individual
AMANDA BREA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31645 N ROYAL OAK WAY, SAN TAN VALLEY, AZ 85143-6341
(480) 677-3349
Mailing address
7831 E CULVER ST, MESA, AZ 85207-1205
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8514
AZ
Other
Enumeration date
09/01/2013
Last updated
09/01/2013
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