Individual
JUDITH MARGARET MACIAS-HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSLP-CFY
Contact information
Practice address
1709 N BURBANK CT, CHANDLER, AZ 85225-4321
(602) 999-7998
Mailing address
1709 N BURBANK CT, CHANDLER, AZ 85225-4321
(602) 999-7998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP6880
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TSLP 6880
ARIZONA DEPARTMENT OF HEALTH
AZ
Enumeration date
08/06/2010
Last updated
08/06/2010
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