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Individual

MRS. SUSAN RICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC

Contact information

Practice address
22443 N 49TH PL, PHOENIX, AZ 85054-7102
(315) 430-2836
Mailing address
22443 N 49TH PL, PHOENIX, AZ 85054-7102
(315) 430-2836

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP9630
AZ

Other

Enumeration date
09/18/2015
Last updated
09/18/2015
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