Individual
LAUREN KOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2451 E BASELINE RD, GILBERT, AZ 85234
(480) 474-4173
Mailing address
2901 E ODESSA ST, MESA, AZ 85213-2002
(602) 568-7239
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP9408
AZ
Other
Enumeration date
08/07/2015
Last updated
05/24/2018
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