SUSAN EILEEN VAN WIE

LAVEEN, AZ
NPI1962683367
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: AZ  taud5402)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: AZ  slp4532)
Enumeration Date2007-11-14
Last Update Date2007-11-14
Business Address
Mrs. SUSAN EILEEN VAN WIE CCC/A
6425 W CONSTANCE WAY
LAVEEN, AZ 85339-2798
Phone number: 602-705-8705
Mailing Address
Mrs. SUSAN EILEEN VAN WIE CCC/A
6425 W CONSTANCE WAY
LAVEEN, AZ 85339-2798
Phone number: 602-705-8705