Individual
REBECCA DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6410 W SAGUARO DR, GLENDALE, AZ 85304-4605
(623) 986-3345
Mailing address
6410 W SAGUARO DR, GLENDALE, AZ 85304-4605
(623) 986-3345
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8780
AZ
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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