Individual
MRS. SHARON LORE KUTOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 232-7683
(520) 584-6801
Mailing address
9425 E RAVINE TRL, TUCSON, AZ 85749-9670
(520) 290-8841
(520) 584-6801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0491
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
594855
—
AZ
Enumeration date
02/07/2007
Last updated
07/09/2007
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