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Individual

MRS. TRUDIE GAIL CAMPONOVO-BARROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
8505 E VALLEY VIEW RD, SCOTTSDALE, AZ 85250-6768
(480) 484-5077
Mailing address
11440 E WINCHCOMB DR, SCOTTSDALE, AZ 85255-1640
(480) 609-1446

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
625759
AHCCCS
AZ
01
SLP#1392
AZ DEPT. OF HEATH SERVICE
AZ
Enumeration date
02/02/2007
Last updated
07/08/2007
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