Individual
MYRA SUSAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
7231 W NORTH LN, PEORIA, AZ 85345-6735
(757) 285-4377
Mailing address
7231 W NORTH LN, PEORIA, AZ 85345-6735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP9219
AZ
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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