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1376984757
STACIE RENEE' MELLEN
PHOENIX, AZ
NPI
1376984757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: AZ SLPA8403)
Enumeration Date
2013-07-12
Last Update Date
2013-07-12
Business Address
Mrs. STACIE RENEE' MELLEN SLP-A
8245 N 27TH AVE APT 1035
PHOENIX, AZ 85051-6362
Phone number: 602-697-6014
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Mailing Address
Mrs. STACIE RENEE' MELLEN SLP-A
8245 N 27TH AVE APT 1035
PHOENIX, AZ 85051-6362
Phone number: 602-697-6014
Copy
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