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Charronda Willoughby
Speech-Language Assistant in Peoria, Arizona
NPI 1003564162

Charronda Willoughby is a Speech-Language Assistant based in Peoria, AZ and is specialized in Speech-Language Assistant. Charronda Willoughby practices in Peoria, AZ. The NPI Number for Charronda Willoughby is 1003564162 and holds a License No. SLPA-134941 (Arizona).

The current practice location address for Charronda Willoughby is 9057 N 98Th Ave, Peoria, AZ and can be reached out via phone at 208-971-9543.

Location: 9057 N 98Th Ave, Peoria, AZ, 85345-3730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003564162
Provider Name
Charronda Willoughby
Credential
Provider Entity Type
Individual
Gender
Female
Address
9057 N 98Th Ave, Peoria, AZ, 85345-3730
Phone Number
208-971-9543
Fax Number
Provider Enumeration Date
03/16/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SLPA-13491 01 AZ ARIZONA DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
9057 N 98Th Ave
City
Peoria
State
Arizona
Zip
85345-3730
Phone Number
208-971-9543
Fax Number
person
Provider Business Mailing Address Details
Address
9057 N 98Th Ave
City
Peoria
State
Arizona
Zip
85345-3730
Phone Number
208-971-9543
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
SLPA-134941 (Arizona)
Definition
Definition to come...
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