Individual
MS. NANCY LOUISE ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
650 E. CENTER ST, CHINO VALLEY, AZ 86323
(928) 636-2458
(928) 636-1434
Mailing address
PO BOX 225, CHINO VALLEY, AZ 86323-0225
(928) 636-2458
(928) 636-1434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP3047
AZ
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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