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Individual

JOSIE RANDLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 449-2000
(602) 449-2245
Mailing address
4115 E LA SALLE ST, PHOENIX, AZ 85040-9069
(206) 351-8046

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
31789
CA
235Z00000X
Speech-Language Pathologist
LL60043931
WA
235Z00000X
Speech-Language Pathologist
Primary
SLP7146
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
594097
AZ
Enumeration date
02/15/2011
Last updated
03/25/2025
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