Individual
JENNIFER MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7853
Mailing address
1819 N 120TH DR, AVONDALE, AZ 85392-3021
(623) 932-4408
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6593
AZ
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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