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Organization

AMERICAN LEADERSHIP ACADEMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHY FERGUSON (SPECIAL EDUCATION COORDINATOR)
(480) 397-9226
Entity
Organization

Contact information

Practice address
4100 S LINDSAY RD, STE 113, GILBERT, AZ 85297-1506
(480) 397-9226
Mailing address
4100 S LINDSAY RD, STE 113, GILBERT, AZ 85297-1506

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
SLPA9679
AZ

Other

Enumeration date
01/11/2016
Last updated
01/11/2016
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