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Organization

WESTSIDE SPEECH & LANGUAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINE B. SANTA CRUZ (SPEECH-LANGUAGE PATHOLOGY ASSISTANT)
(602) 882-0628
Entity
Organization

Contact information

Practice address
4307 N 87TH DR, PHOENIX, AZ 85037-1701
(602) 882-0628
Mailing address
4307 N 87TH DR, PHOENIX, AZ 85037-1701
(602) 882-0628

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
#SLPA6722
AZ

Other

Enumeration date
10/07/2012
Last updated
10/07/2012
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