Individual
MARRISA CRUZ VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
2950 N DOBSON RD STE 3, CHANDLER, AZ 85224-1819
(489) 935-0614
Mailing address
1571 W DEL RIO ST, CHANDLER, AZ 85224-6964
(480) 291-4680
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11068
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLPA11068
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
05/03/2018
Last updated
05/03/2018
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