Individual
MIRANDA CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
43507 N IRONWOOD DR, QUEEN CREEK, AZ 85140-9312
(480) 757-2253
Mailing address
42371 W OAKLAND DR, MARICOPA, AZ 85138-2229
(207) 343-1397
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA13078
AZ
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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