Individual
TRACI GENAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5149 S SIGNAL BUTTE RD, MESA, AZ 85212-8181
(480) 987-7440
Mailing address
20217 E CHANDLER HEIGHTS RD, QUEEN CREEK, AZ 85142-9521
(480) 987-7440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AZ
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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