Individual
MADISON ADIA KOSMATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4708 EAST CAMBRIDGE AVE, PHOENIX, AZ 85008
(602) 748-0554
(480) 383-6375
Mailing address
1005 E 8TH ST UNIT 1005, TEMPE, AZ 85281-7445
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA15010
AZ
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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