Individual
MRS. KATIE ELIZABETH PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5947 W GARDENIA AVE, GLENDALE, AZ 85301-1877
(520) 609-9068
Mailing address
18197 W WOODROW LN, SURPRISE, AZ 85388-7630
(520) 609-9068
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10317
AZ
Other
Enumeration date
09/05/2017
Last updated
01/03/2020
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