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Individual

MRS. JENNY MARIE MENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CFY-SLP

Contact information

Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
21917 N 70TH AVE, GLENDALE, AZ 85310-5933
(602) 446-5254

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
543042
AZ
Enumeration date
02/21/2007
Last updated
10/23/2012
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