Individual
CHAZ CALLIE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14218 N 47TH AVE, GLENDALE, AZ 85306-4401
(602) 896-6451
Mailing address
14218 N 47TH AVE, GLENDALE, AZ 85306-4401
(602) 896-6451
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
AZ
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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