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Organization

LIO MANA'OLANA THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VICKI ANNE SLOCUM MA, CCC-SLP (OWNER)
(602) 743-4174
Entity
Organization

Contact information

Practice address
22807 S RECKER RD, GILBERT, AZ 85298-8936
(602) 743-4174
(480) 988-2453
Mailing address
22807 S RECKER RD, GILBERT, AZ 85298-8936
(602) 743-4174
(480) 988-2453

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0865
AZ

Other

Enumeration date
01/07/2008
Last updated
01/07/2008
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