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Individual

ERIKA KRISTI LAFOREST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
3036 N BOLDT DR, FLAGSTAFF, AZ 86001-0960
(928) 773-0895
Mailing address
5404 E CORTLAND BLVD, APT#292, FLAGSTAFF, AZ 86004-2516
(928) 266-0967

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2162
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP2162
DEPT OF HEALTH SERVICES
AZ
Enumeration date
09/03/2007
Last updated
09/03/2007
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