Individual
MARY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3862 N EVANS ST, KINGMAN, AZ 86409-3316
(928) 293-1777
Mailing address
3862 N EVANS ST, KINGMAN, AZ 86409-3316
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLP14155
AZ
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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