Individual
CARSON ANWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
6635 W HAPPY VALLEY RD STE A104-218, GLENDALE, AZ 85310-2609
(623) 224-1214
Mailing address
6635 W HAPPY VALLEY RD STE A104-218, GLENDALE, AZ 85310-2609
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12711
AZ
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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