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Individual

MS. ALEXANDRA GESINE FELKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS., SLP-CCC

Contact information

Practice address
14898 W ACOMA DR., SURPRISE, AZ 85379
(623) 546-5666
Mailing address
18552 W EVA STR., WADDELL, AZ 85355
(623) 546-5666

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0570
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
585846
AHCCS
AZ
Enumeration date
01/26/2007
Last updated
07/08/2007
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