Individual
LAUREN BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 S HIGLEY RD STE 103-477, GILBERT, AZ 85296-1166
(480) 998-1477
Mailing address
67 S HIGLEY RD STE 103-477, GILBERT, AZ 85296-1166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
122736
TX
235Z00000X
Speech-Language Pathologist
TSLP13956
AZ
Other
Enumeration date
07/25/2022
Last updated
08/14/2024
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