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Individual

LAURA FAITH FISCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SPT

Contact information

Practice address
5215 N 24TH ST APT 203, PHOENIX, AZ 85016-3534
(602) 904-9708
Mailing address
5215 N 24TH ST APT 203, PHOENIX, AZ 85016-3534
(602) 904-9708

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01680
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
135377
AHCCCS #
AZ
Enumeration date
10/17/2006
Last updated
05/31/2024
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