Individual
LORI WYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 N. 58TH AVENUE, GLENDALE, AZ 85301
(623) 237-7100
Mailing address
7301 N. 58TH AVENUE, GLENDALE, AZ 85301
(623) 237-7100
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6820
AZ
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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