Individual
MS. KAREN LESLIE DRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.C.C.
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0727
(480) 472-0705
Mailing address
4840 E ADOBE ST, MESA, AZ 85205-5391
(480) 472-7835
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP0879
ADHS LICENSE NO.
AZ
Enumeration date
01/09/2007
Last updated
07/08/2007
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