Individual
MRS. JILL VENNA MORSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 W PINE AVE, FLAGSTAFF, AZ 86001-1368
(928) 853-8900
Mailing address
440 W PINE AVE, FLAGSTAFF, AZ 86001-1368
(928) 853-8900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1844
AZ
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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