Individual
JOBETH LADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3555 E FRY BLVD, SIERRA VISTA, AZ 85635-2972
(520) 515-2738
Mailing address
3555 E FRY BLVD, SIERRA VISTA, AZ 85635-2972
(520) 515-2738
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1197
AZ
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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