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Individual

MARY A BAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
40388 N PARISI PL, QUEEN CREEK, AZ 85140-6826
(815) 671-1223
Mailing address
40388 N PARISI PL, QUEEN CREEK, AZ 85140-6826
(815) 671-1223

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8701
AZ

Other

Enumeration date
01/31/2014
Last updated
01/25/2018
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