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Individual

KAILEY JO AUGENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
15150 W MONDELL RD, SURPRISE, AZ 85374-3434
(623) 876-7600
Mailing address
15911 N 138TH AVE, SURPRISE, AZ 85374-5357
(270) 617-2193

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5133-154
WI
235Z00000X
Speech-Language Pathologist
Primary
SLP15464
AZ

Other

Enumeration date
07/27/2020
Last updated
06/03/2026
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