Individual
LETICIA MARIE CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5314 N 7TH ST, PHOENIX, AZ 85014-2805
(602) 277-5006
Mailing address
1114 N 27TH DR, PHOENIX, AZ 85009-3953
(602) 367-5162
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9628
AZ
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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