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Neely Nicole Mack
Speech-Language Assistant in Glendale, Arizona
NPI 1568185957

Neely Nicole Mack is a Speech-Language Assistant based in Gilbert, AZ and is specialized in Speech-Language Assistant. Neely Nicole Mack practices in Glendale, AZ. The NPI Number for Neely Nicole Mack is 1568185957 and holds a License No. SLPA14123 (Arizona).

The current practice location address for Neely Nicole Mack is 6635 W Happy Valley Rd Ste A104-218, Glendale, AZ and can be reached out via phone at 602-920-2686.

Location: 6635 W Happy Valley Rd Ste A104-218, Glendale, AZ, 85298-7313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568185957
Provider Name
Neely Nicole Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
6635 W Happy Valley Rd Ste A104-218, Glendale, AZ, 85298-7313
Phone Number
602-920-2686
Fax Number
Provider Enumeration Date
09/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6635 W Happy Valley Rd Ste A104-218
City
Glendale
State
Arizona
Zip
85310-2609
Phone Number
602-920-2686
Fax Number
person
Provider Business Mailing Address Details
Address
6635 W Happy Valley Rd Ste A104-218
City
Glendale
State
Arizona
Zip
85310-2609
Phone Number
602-920-2686
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.
SLPA14123 (Arizona)
Definition
Definition to come...
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