Individual
MRS. KELLY MARZANO MACTOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SP
Contact information
Practice address
6588 E MOUNTAIN VIEW PL, YUMA, AZ 85365-1143
(928) 344-1366
Mailing address
6588 E MOUNTAIN VIEW PL, YUMA, AZ 85365-1143
(928) 344-1366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AZ
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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