Individual
KATRINA FRANCES JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 N DOBSON RD BLDG E, CHANDLER, AZ 85224-9601
(480) 935-0614
Mailing address
5015 E GLENCOVE ST, MESA, AZ 85205-3473
(480) 772-6118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP16450
AZ
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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