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Individual

LORI A. DONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-2848
Mailing address
4833 E EARLL DR, PHOENIX, AZ 85018-6561
(602) 957-3884

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4388
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
877649
AZ
Enumeration date
02/16/2007
Last updated
07/08/2007
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