Individual
MRS. CELEST RUTH HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2829 E PALMDALE LN, GILBERT, AZ 85298-5706
(480) 202-0489
Mailing address
2829 E PALMDALE LN, GILBERT, AZ 85298
(480) 202-0489
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10381
AZ
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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