Individual
KARI ELLEFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7923
Mailing address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7923
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP9544
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TSLP9544
—
AZ
Enumeration date
09/01/2015
Last updated
09/01/2015
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