Individual
JILLIAN ALYSE MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20329 N 59TH AVE STE A2, GLENDALE, AZ 85308-6854
(480) 613-9961
Mailing address
335 WEST CAMPO BELLO DRIVE, PHOENIX, AZ 85023-6549
(602) 315-0458
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14427
AZ
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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