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Individual

MRS. LAURA MARIE MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
1430 E BASELINE RD, TEMPE, AZ 85283-1406
(602) 826-0258
Mailing address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 995-7366

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP6038
AZ
235Z00000X
Speech-Language Pathologist
AZ

Other

Enumeration date
12/10/2008
Last updated
07/21/2022
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