Individual
LAUREL S SHUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. - CCC SPEECH
Contact information
Practice address
146 S GRANITE ST, PRESCOTT, AZ 86303-4710
(928) 445-5400
Mailing address
695 S LAKEVIEW DR, PRESCOTT, AZ 86301-6609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP # 1451
AZ
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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