Individual
MASON DRAJER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5257 W BROWN ST, GLENDALE, AZ 85302-1613
(574) 807-5928
Mailing address
5257 W BROWN ST, GLENDALE, AZ 85302-1613
(574) 807-5928
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2355S0801X
Speech-Language Assistant
Primary
SLPA14013
AZ
Other
Enumeration date
05/24/2021
Last updated
08/01/2022
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