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Individual

MINDY JOY SANDERS

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
3700 E 16TH AVE, APACHE JUNCTION, AZ 85219-4565
(480) 982-1110
Mailing address
PO BOX 58, FORT THOMAS, AZ 85536-0058
(928) 485-2983

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP4498
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
936635
AZ
Enumeration date
04/17/2007
Last updated
07/09/2007
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