Individual
KERI LYNN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4132 E ADOBE ST, MESA, AZ 85205-5110
(480) 636-0240
Mailing address
10108 E THEOREM DR, MESA, AZ 85212-9654
(480) 636-0240
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10928
AZ
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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