Individual
MISS MARY KAY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
19495 N 90TH LN, PEORIA, AZ 85382-8560
(623) 362-9187
Mailing address
19495 N 90TH LN, PEORIA, AZ 85382-8560
(623) 362-9187
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL 5463
AZ
235Z00000X
Speech-Language Pathologist
SLPL5463
AZ
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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