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Individual

MS. LOUISE LILLIAN HEERENS MERKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
800 N APACHE AVE, WINSLOW, AZ 86047-3819
(928) 288-8108
(928) 288-8295
Mailing address
6887 N ELK TANK RD, FLAGSTAFF, AZ 86001-7713
(928) 213-9169

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1480
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
696726
AZ
Enumeration date
01/08/2007
Last updated
07/09/2007
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