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Individual

LINDSEY NICOLE TARAZONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12020 S 45TH ST, PHOENIX, AZ 85044-2436
(602) 455-6791
Mailing address
12020 S. 45TH ST., PHOENIX, AZ 85044

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6377
AZ

Other

Enumeration date
10/29/2010
Last updated
04/10/2023
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