Individual
JARED WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8633 W JOHN CABOT RD, PEORIA, AZ 85382-0879
(623) 412-4875
Mailing address
14109 N 83RD AVE APT 181, PEORIA, AZ 85381-4789
(540) 842-6074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 10101
AZ
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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