Individual
DOVE MARIE GUNDERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W. GURLEY ST, PRESCOTT, AZ 86301
(928) 445-5400
Mailing address
5125 E SAPPHIRE DR, PRESCOTT, AZ 86301-5906
(928) 277-5463
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12274
AZ
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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