Individual
BLYTHE RENEE LAFAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3160 N ARIZONA AVE STE 105, CHANDLER, AZ 85225-7122
(480) 365-9981
Mailing address
52519 INFIRMARY RD, MILAN, MO 63556-3058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP13928
AZ
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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