Individual
SAMANTHA GUTIERREZ2
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
7241 W CRABAPPLE DR, PEORIA, AZ 85383-7217
(623) 363-6626
Mailing address
7241 W CRABAPPLE DR, PEORIA, AZ 85383-7217
(623) 363-6626
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12244
AZ
Other
Enumeration date
02/04/2020
Last updated
03/06/2020
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