Individual
LAURA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1817 N 7TH ST., PHOENIX, AZ 85006
(602) 332-2754
Mailing address
1817 N 7TH ST, PHOENIX, AZ 85006-2133
(602) 332-2754
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9566
AZ
Other
Enumeration date
09/19/2017
Last updated
07/21/2022
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