Individual
GRACE OLIVIA HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 S CONSTELLATION WAY, GILBERT, AZ 85295-1919
(480) 748-8167
Mailing address
707 S FARMER AVE, TEMPE, AZ 85281-0254
(952) 451-6957
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14319
AZ
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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