Individual
KATHLEEN FAVREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13281 W EDGEMONT AVE, GOODYEAR, AZ 85395-2204
(602) 206-5309
Mailing address
13281 W EDGEMONT AVE, GOODYEAR, AZ 85395-2204
(602) 206-5309
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9360
AZ
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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