Individual
LAURA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4000
Mailing address
8438 N 54TH DR, GLENDALE, AZ 85302-6107
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
866000517
MARIE BELCHER
AZ
Enumeration date
03/28/2007
Last updated
03/21/2012
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