Individual
DANIELLE RAE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3805 W CAMINO DEL RIO, GLENDALE, AZ 85310-4133
(623) 313-8080
Mailing address
3805 W CAMINO DEL RIO, GLENDALE, AZ 85310-4133
(623) 313-8080
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8251
AZ
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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