Individual
KATHRYN MARIE STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
2450 W PECOS RD APT 1127, CHANDLER, AZ 85224-4841
(619) 971-3344
Mailing address
2450 W PECOS RD APT 1127, CHANDLER, AZ 85224-4841
(619) 971-3344
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
11300
AZ
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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