Individual
JORDAN ILANA WAKSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1334 E CHANDLER BLVD STE 5, PHOENIX, AZ 85048-6268
(480) 710-8779
(480) 718-7633
Mailing address
1334 E CHANDLER BLVD STE 5, PHOENIX, AZ 85048-6268
(480) 710-8779
(480) 718-7633
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11457
AZ
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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