Individual
LAUREN SROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
7402 W CATALINA DR, PHOENIX, AZ 85033-5502
(602) 764-1100
Mailing address
4731 W VILLA THERESA DR, GLENDALE, AZ 85308-1446
(928) 890-7718
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
9486
AZ
Other
Enumeration date
08/02/2017
Last updated
03/17/2018
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