Individual
KORY MAE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
812 VALLEY ST, PRESCOTT, AZ 86305-1826
(928) 445-1309
(928) 441-1291
Mailing address
812 VALLEY ST, PRESCOTT, AZ 86305-1826
(928) 445-1309
(928) 441-1291
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA16232
AZ
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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