Individual
MARY LOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. C.C.C. SLP
Contact information
Practice address
3131 WESTERN AVE, KINGMAN, AZ 86401-0951
(928) 718-0718
Mailing address
3451 N APACHE ST, KINGMAN, AZ 86401-3867
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6187
AZ
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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