Individual
AUDREY POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 E MAIN ST, MESA, AZ 85201-7417
(480) 472-0200
Mailing address
63 E MAIN ST, MESA, AZ 85201-7417
(480) 472-0200
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14934
AZ
Other
Enumeration date
03/04/2019
Last updated
11/18/2024
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