| NPI | 1194874461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY MARIE BLAIR Speech Therapist 520-696-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ slpl5250) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |