Individual
CAROL ST. JEAN BRISEBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
12725 W INDIAN SCHOOL RD STE E101Q1, AVONDALE, AZ 85392-9520
(602) 456-7199
(602) 742-2739
Mailing address
PO BOX 7771, GOODYEAR, AZ 85338-0647
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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