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Individual

PATRICIA RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
60 E. VERNON AVE, ARCADIA THERAPY SERVICES, PHOENIX, AZ 85004
(602) 528-3450
Mailing address
21642 N 44TH PL, PHOENIX, AZ 85050-6936
(602) 326-6707

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9041
AZ

Other

Enumeration date
12/30/2014
Last updated
12/31/2014
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