Individual
MRS. RANDI MICHELLE BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 S KYRENE RD, TEMPE, AZ 85284-2108
(480) 783-1140
Mailing address
7741 S LA ROSA DR, TEMPE, AZ 85284-1490
(480) 831-2428
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP5077
AZ
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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