Individual
NICOLE GROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W PEORIA AVE, PHOENIX, AZ 85029-5130
(480) 529-0395
Mailing address
3240 W WALTER WAY, PHOENIX, AZ 85027-1077
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6824
AZ
Other
Enumeration date
08/24/2010
Last updated
02/27/2013
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