Individual
JULIE GRESETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7677 W PARADISE LN APT 1146, PEORIA, AZ 85382-4973
(928) 533-2275
Mailing address
7677 W PARADISE LN APT 1146, PEORIA, AZ 85382-4973
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP6464
AZ
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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