Individual
MS. ALLISON SOLIS BOOTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12529 W BUCHANAN ST, AVONDALE, AZ 85323-8248
(623) 932-1704
Mailing address
12529 W BUCHANAN ST, AVONDALE, AZ 85323-8248
(623) 932-1704
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6292
AZ
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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