Individual
MRS. SUSAN DIANE LUTTJOHANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 E BASELINE RD STE 109, MESA, AZ 85206-4403
(480) 818-4212
Mailing address
2342 E MALLARD CT, GILBERT, AZ 85234-3812
(480) 431-8424
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11985
AZ
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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