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Individual

MRS. MORIAH JANE HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
1424 W GENEVA DR, TEMPE, AZ 85282-3436
(928) 300-7194
Mailing address
1424 W GENEVA DR, TEMPE, AZ 85282-3436
(928) 300-7194

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7059
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP7059
ASHA
AZ
Enumeration date
12/09/2010
Last updated
10/18/2017
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