Individual
MRS. MARY EDITH LAWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH LANG PATHOLOG
Contact information
Practice address
294 W CARLOS AVE, HOLBROOK, AZ 86025-1846
(928) 524-2123
Mailing address
PO BOX 2378, SNOWFLAKE, AZ 85937-2378
(928) 243-0007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4137
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP4137
HEALTH SERVICE LICENSE
AZ
Enumeration date
11/07/2006
Last updated
07/08/2007
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