Individual
KARRRIE KUECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
15810 S 42ND ST, PHOENIX, AZ 85048-7409
(480) 759-0358
Mailing address
15801 S 48TH ST APT 1132, PHOENIX, AZ 85048-0844
(734) 344-1284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
7519
LA
235Z00000X
Speech-Language Pathologist
Primary
SLP10549
AZ
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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