Individual
NICOLE BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1817 N 7TH ST, PHOENIX, AZ 85006-2133
(602) 523-5959
Mailing address
1817 N 7TH ST, PHOENIX, AZ 85006-2133
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7708
AZ
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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