Individual
LESLIE MAGDALENA LIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2830 E BROWN RD, MESA, AZ 85213-5430
(602) 875-5616
Mailing address
12210 W RIVERSIDE AVE, TOLLESON, AZ 85353-2731
(623) 205-7283
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12114
AZ
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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