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Individual

LAUREN BEATRICE ALONZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
S.L.P.A.

Contact information

Practice address
5314 N 7TH ST, PHOENIX, AZ 85014-2805
(602) 339-4627
Mailing address
2233 N RICHLAND ST, PHOENIX, AZ 85006-1618
(602) 339-4627

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8109
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
76925
AHCCCS
AZ
Enumeration date
12/17/2012
Last updated
06/11/2015
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