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Individual

LAURIE W. HILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP, CCC-SLP

Contact information

Practice address
1405 E DEVLIN AVE, KINGMAN, AZ 86409-1719
(706) 540-3233
Mailing address
1405 E DEVLIN AVE, KINGMAN, AZ 86409-1719
(706) 540-3233

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
105690
TX
235Z00000X
Speech-Language Pathologist
Primary
SLP 6735
AZ
235Z00000X
Speech-Language Pathologist
SLP001305
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208565070A
GA
Enumeration date
08/28/2009
Last updated
12/20/2011
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