Individual
KATELYN AMANDA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43507 N IRONWOOD DR, SAN TAN VALLEY, AZ 85140-9312
(480) 757-2253
Mailing address
4502 W ALABAMA LN, QUEEN CREEK, AZ 85142-6157
(480) 692-1377
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
AZ
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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