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Individual

AMY L. MARINCOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 867-5223
(602) 867-5252
Mailing address
15002 N 32ND ST, PHOENIX, AZ 85032-4441

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
DOH #SLP 1834
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AHCCCS # 785694
AZ
Enumeration date
10/26/2006
Last updated
08/24/2010
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