Individual
MRS. ROBIN B WURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
455 N WILLOW ST, GLOBE, AZ 85501-2562
(928) 425-8934
(928) 425-8936
Mailing address
455 N WILLOW ST, GLOBE, AZ 85501-2562
(928) 425-8934
(928) 425-8936
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL0331
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
769929
AHCCCS
AZ
Enumeration date
05/07/2007
Last updated
07/08/2007
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