Individual
MRS. MAE Y JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF SLP
Contact information
Practice address
NAVAJO ROUTE 12, WINDOW ROCK UNIFIED SCHOOL DISTRICT #8, FT DEFIANCE, AZ 86504
(928) 729-6754
(928) 729-7630
Mailing address
PO BOX 559, WRUSD NO 8 SPECIAL EDUCATION DEPARTMENT, FORT DEFIANCE, AZ 86504
(928) 729-6755
(928) 729-7630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLPL4682
DEPT OF HEALTH SERVICES
AZ
Enumeration date
09/28/2007
Last updated
10/15/2007
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