Individual
KRISTYN MAE MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18440 N 15TH AVE, PHOENIX, AZ 85023-1402
(602) 467-6122
Mailing address
18440 N 15TH AVE, PHOENIX, AZ 85023-1402
(602) 467-6122
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9441
AZ
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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