Individual
MARY ELISE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1018 E DOUGLAS AVE, GILBERT, AZ 85234-3583
(623) 824-4376
Mailing address
1018 E DOUGLAS AVE, GILBERT, AZ 85234-3583
(623) 824-4376
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7634
AZ
Other
Enumeration date
02/04/2012
Last updated
02/04/2012
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