CASSIDY PHOENIX

LAKE HAVASU CITY, AZ
NPI1255865648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: AZ  SLPA10517)
Enumeration Date2017-04-12
Last Update Date2021-05-25
Business Address
CASSIDY PHOENIX
37 OCEANIC LN
LAKE HAVASU CITY, AZ 86403-5434
Phone number: 702-501-1143
Mailing Address
CASSIDY PHOENIX
3887 BLUEGRASS DR
LAKE HAVASU CITY, AZ 86406-4362
Phone number: