Individual
CAROL PICHARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2395 SMOKETREE AVE N, LAKE HAVASU CITY, AZ 86403-5876
(928) 505-6020
Mailing address
2200 HAVASUPAI BLVD, LAKE HAVASU CITY, AZ 86403-3122
(928) 505-6900
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
11173
AZ
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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