Individual
CORINE M STUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA, M.A. MGMT
Contact information
Practice address
12009 W TONTO ST, AVONDALE, AZ 85323-5711
(402) 470-2322
Mailing address
12009 W TONTO ST, AVONDALE, AZ 85323-5711
(402) 470-2322
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8164
AZ
Other
Enumeration date
01/19/2013
Last updated
01/19/2013
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