Individual
MS. MARY LYNN BOLGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1817 N 7TH ST, PHOENIX, AZ 85006-2133
(602) 523-8988
Mailing address
6506 E MOUNTAIN VIEW RD, PARADISE VALLEY, AZ 85253-1844
(480) 945-3810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL5350
AZ
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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