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Individual

MS. VALERIE ANN ROANHORSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
294 WEST CARLOS, HOLBROOK, AZ 86025
(928) 755-6506
Mailing address
PO BOX 95, GANADO, AZ 86505
(928) 755-6506

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0469
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
815970
AZ
Enumeration date
12/04/2007
Last updated
07/06/2012
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