Individual
CAITLIN KMIECIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9619 W CLARA LN, PEORIA, AZ 85382-5126
(623) 670-9856
Mailing address
7538 W MCRAE WAY, GLENDALE, AZ 85308-5939
(623) 670-9856
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8954
AZ
Other
Enumeration date
08/21/2014
Last updated
07/19/2021
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