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1104992577
MELANIE AMBER THEISEN
MESA, AZ
NPI
1104992577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLP4837)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
Ms. MELANIE AMBER THEISEN MS CCC SLP
2220 S COUNTRY CLUB #104
MESA, AZ 85210
Phone number: 480-820-6366
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Mailing Address
Ms. MELANIE AMBER THEISEN MS CCC SLP
PO BOX 6397
CHANDLER, AZ 85246
Phone number: 480-820-6366
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