Individual
JENNIFER CAROLINA ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
9385 W DONALD DR, PEORIA, AZ 85383-2988
(404) 629-7115
Mailing address
514 SEA DUNES CT, LOGANVILLE, GA 30052-6797
(404) 629-7115
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12585
AZ
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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