Individual
MARY E NOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, MA, CCC-SLP
Contact information
Practice address
5205 W WINSTON DR, LAVEEN, AZ 85339-2819
(602) 578-0515
(602) 237-7791
Mailing address
PO BOX 760, LAVEEN, AZ 85339-0760
(602) 578-0515
(602) 237-7791
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 2151
AZ
Other
Enumeration date
09/22/2005
Last updated
09/21/2007
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