Individual
MRS. SUMER LYNETTE BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
14329 N 143RD DR, SURPRISE, AZ 85379-4700
(623) 810-2417
Mailing address
14329 N 143RD DR, SURPRISE, AZ 85379-4700
(623) 810-2417
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7628
AZ
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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