Individual
LEQUENDA ILEASHA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8109 W GLOBE AVE, PHOENIX, AZ 85043-1546
(623) 853-6402
Mailing address
8109 W GLOBE AVE, PHOENIX, AZ 85043-1546
(623) 853-6402
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
AZ
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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