GINA LEISING

PHOENIX, AZ
NPI1013251875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  SLP8079)
Enumeration Date2012-11-19
Last Update Date2012-11-19
Business Address
-- GINA LEISING MAT, CCC-SLP
10640 N 28TH DR C-104
PHOENIX, AZ 85029-4527
Phone number: 602-626-8851
Mailing Address
-- GINA LEISING MAT, CCC-SLP
6126 W PARK VIEW LN
GLENDALE, AZ 85310-2701
Phone number: 623-877-7547
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