Individual
JENNIFER MCQUILLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
1891 W LOKI LN, CASA GRANDE, AZ 85194-2004
(602) 363-7798
Mailing address
1891 W LOKI LN, CASA GRANDE, AZ 85194-2004
(602) 363-7798
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14145
AZ
Other
Enumeration date
12/13/2024
Last updated
01/15/2025
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