Individual
NINA STRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2343 W MAIN ST APT 2082, MESA, AZ 85201-9011
(860) 838-1954
Mailing address
2343 W MAIN ST APT 2082, MESA, AZ 85201-9011
(860) 838-1954
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12574
AZ
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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