Individual
JEANETTE WEIVODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13167 W MULBERRY DR, LITCHFIELD PARK, AZ 85340-5900
(623) 210-8910
Mailing address
13167 W MULBERRY DR, LITCHFIELD PARK, AZ 85340-5900
(623) 210-8910
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA16301
AZ
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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