| NPI | 1588555353 |
|---|---|
| Former Legal Business Name | CLE CREATIONS |
| Entity Type | Organization |
| Authorized Contact | MARK GONCHAR Adminitrator 480-487-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |