Individual
MS. LAURA MARIE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA.,SLT,M-ED
Contact information
Practice address
ARROWHEAD ELEMENTARY SCHOOL 7490 W. UNION HILLS DR., GLENDALE, AZ 85308
(623) 376-4100
Mailing address
6902 W WESCOTT DR, GLENDALE, AZ 85308-5783
(623) 412-2040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
#SLP1151
AZ
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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