Individual
MICHELLE BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1012 E WILLETTA ST, PHOENIX, AZ 85006-2749
(602) 839-4563
Mailing address
1012 E WILLETTA ST, PHOENIX, AZ 85006-2749
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7700
AZ
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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