Individual
TAMMY BOE-KIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 S HORNE, MESA, AZ 85204-5760
(480) 694-3844
Mailing address
929 W FRITO AVE, MESA, AZ 85210-3428
(480) 694-3844
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4167
AZ
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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