Individual
STACEY SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
4563 E HEDGEHOG PL, CAVE CREEK, AZ 85331-2688
(602) 803-1693
Mailing address
4563 E HEDGEHOG PL, CAVE CREEK, AZ 85331-2688
(602) 803-1693
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11265
AZ
Other
Enumeration date
02/16/2019
Last updated
02/16/2019
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