Individual
JENNA HASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5120 E HAMPTON AVE, APT 1242, MESA, AZ 85206-6784
(928) 814-3009
Mailing address
5120 E HAMPTON AVE, APT 1242, MESA, AZ 85206-6784
(928) 814-3009
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8606
AZ
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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