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Search › Arizona › 235Z00000X

Jackie Mathiesen, M.S. CCC-SLP

NPI 1952441602 · on the registry since 2007

Practice

Address
12409 W Indian School Rd Ste C306
Avondale, AZ 85323
Phone
(623) 935-6040
Organisation at this address
Wvf Llc
Tmthree Llc
Kmthree Llc
Aces 2020, Llc
Avon Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
207

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona