Individual
MS. KRISTEN JO LORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9419 W VAN BUREN ST, TOLLESON, AZ 85353-2804
(623) 478-4055
Mailing address
12821 W EDGEMONT AVE, AVONDALE, AZ 85323-7087
(623) 535-5967
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1703
AZ
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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