Individual
JAMIE MANYGOATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31645 N ROYAL OAK WAY, SAN TAN VALLEY, AZ 85143-6341
(480) 677-3349
Mailing address
4775 E HORSE MESA TRL, SAN TAN VALLEY, AZ 85140-7022
(480) 250-1997
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12283
AZ
Other
Enumeration date
03/09/2020
Last updated
03/18/2020
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