Individual
DANIELLE GANDOLFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
11232 N 65TH AVE, GLENDALE, AZ 85304-3640
(623) 412-4650
Mailing address
11232 N 65TH AVE, GLENDALE, AZ 85304-3640
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10684
AZ
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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