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Individual

LISA MARIE BLYTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
5200 E FARNESS DR, SUITE 100, TUCSON, AZ 85712-2140
(520) 232-2021
(520) 232-2553
Mailing address
1830 E BROADWAY BLVD, SUITE 124-143, TUCSON, AZ 85719-5966
(520) 232-2021
(520) 232-2553

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9174
AZ

Other

Enumeration date
06/04/2015
Last updated
06/04/2015
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