Individual
KATHRYN A VILLAESCUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 N WILMOT RD, TUCSON, AZ 85712-3039
(520) 721-4205
Mailing address
6314 E ELI DR, TUCSON, AZ 85710-8739
(520) 240-0607
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6628
AZ
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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