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1992838486
ILENE SECRIST
PHOENIX, AZ
NPI
1992838486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLP0966)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
Ms. ILENE SECRIST SLP
42901 N 45TH AVE
PHOENIX, AZ 85087-7002
Phone number: 623-376-5200
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Mailing Address
Ms. ILENE SECRIST SLP
8195 MASTERS LN
FLAGSTAFF, AZ 86004-1212
Phone number: 928-853-4054
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