Individual
MRS. TABETHA ANN KEBBEKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, SLPA
Contact information
Practice address
225 S LEANDRO, MESA, AZ 85208-2652
(262) 719-2249
Mailing address
225 S LEANDRO, MESA, AZ 85208-2652
(262) 719-2249
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11156
AZ
Other
Enumeration date
04/16/2018
Last updated
06/16/2018
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