Individual
ALLIEJANE BOAZ DESOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S AIRPARK RD, SUITE M, COTTONWOOD, AZ 86326-4182
(928) 639-2694
Mailing address
PO BOX 2386, FLAGSTAFF, AZ 86003-2386
(928) 226-1563
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9498
AZ
Other
Enumeration date
07/29/2015
Last updated
12/19/2018
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