Individual
BRENDA BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
(602) 304-3117
(602) 304-3132
Mailing address
6218 S 7TH ST, PHOENIX, AZ 85042-4211
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9392
AZ
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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