Individual
ANNIE NGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
628 BOOTLEG RD, CLARKDALE, AZ 86324-3326
(928) 254-8059
Mailing address
628 BOOTLEG RD, CLARKDALE, AZ 86324-3326
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPA9767
AZ
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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